Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.00 / $128.00 / $128.00	Facility	26	$128.00	$128.00	$128.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.49 / $494.18 / $2,264.53	Professional		$355.49	$494.18	$2,264.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.46 / $176.38 / $510.42	Professional	26	$83.46	$176.38	$510.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $269.31 / $335.00 / $818.13	Professional	TC	$269.31	$335.00	$818.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.07 / $786.29 / $1,271.63	Professional		$335.07	$786.29	$1,271.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.90 / $105.31 / $184.61	Professional	26	$75.90	$105.31	$184.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $252.80 / $665.81 / $1,153.27	Professional	TC	$252.80	$665.81	$1,153.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $235.74 / $367.90	Professional		$80.09	$235.74	$367.90
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $669.98 / $669.98 / $669.98	Facility	26	$669.98	$669.98	$669.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $528.44 / $605.29 / $1,200.29	Professional		$528.44	$605.29	$1,200.29
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $124.92 / $145.78 / $193.25	Professional	26	$124.92	$145.78	$193.25
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $403.52 / $470.90 / $1,007.04	Professional	TC	$403.52	$470.90	$1,007.04
United Facility/Professional Professional Modifier Low / Median / High Price $336.52 / $600.00 / $943.41	Professional		$336.52	$600.00	$943.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $76.25 / $78.54 / $153.61	Professional	26	$76.25	$78.54	$153.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $257.98 / $455.26 / $933.40	Professional	TC	$257.98	$455.26	$933.40