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 / $545.26	Facility	26	$128.00	$128.00	$545.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.12 / $475.00 / $1,789.34	Professional		$279.12	$475.00	$1,789.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.59 / $141.22 / $207.13	Professional	26	$81.59	$141.22	$207.13
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $139.56 / $237.50 / $894.67	Professional	52	$139.56	$237.50	$894.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $193.96 / $330.95 / $589.63	Professional	TC	$193.96	$330.95	$589.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.98 / $507.28 / $847.28	Professional		$262.98	$507.28	$847.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.28 / $104.45 / $183.12	Professional	26	$75.28	$104.45	$183.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $181.37 / $384.94 / $729.99	Professional	TC	$181.37	$384.94	$729.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.95 / $176.22 / $266.98	Professional		$79.95	$176.22	$266.98
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 $413.43 / $482.47 / $648.34	Professional		$413.43	$482.47	$648.34
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $123.93 / $144.63 / $191.73	Professional	26	$123.93	$144.63	$191.73
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $289.50 / $337.84 / $463.52	Professional	TC	$289.50	$337.84	$463.52
United Facility/Professional Professional Modifier Low / Median / High Price $266.58 / $460.60 / $894.41	Professional		$266.58	$460.60	$894.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.95 / $93.61 / $155.22	Professional	26	$75.95	$93.61	$155.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $188.96 / $301.44 / $480.24	Professional	TC	$188.96	$301.44	$480.24