Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.00 / $147.19 / $719.06	Facility	26	$128.00	$147.19	$719.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.85 / $522.50 / $1,972.45	Professional		$329.85	$522.50	$1,972.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.60 / $185.10 / $498.00	Professional	26	$97.60	$185.10	$498.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $164.93 / $237.50 / $1,056.52	Professional	52	$164.93	$237.50	$1,056.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $228.22 / $368.50 / $1,464.67	Professional	TC	$228.22	$368.50	$1,464.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.07 / $598.13 / $1,298.09	Professional		$310.07	$598.13	$1,298.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.08 / $134.13 / $235.15	Professional	26	$97.08	$134.13	$235.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $205.29 / $438.81 / $1,148.55	Professional	TC	$205.29	$438.81	$1,148.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $176.80 / $300.62	Professional		$80.09	$176.80	$300.62
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 $486.80 / $559.46 / $766.02	Professional		$486.80	$559.46	$766.02
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $159.13 / $185.70 / $245.05	Professional	26	$159.13	$185.70	$245.05
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $327.67 / $382.39 / $529.79	Professional	TC	$327.67	$382.39	$529.79
United Facility/Professional Professional Modifier Low / Median / High Price $315.04 / $506.28 / $883.22	Professional		$315.04	$506.28	$883.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $97.80 / $113.24 / $234.00	Professional	26	$97.80	$113.24	$234.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $215.34 / $341.59 / $721.18	Professional	TC	$215.34	$341.59	$721.18