Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.39 / $112.55 / $320.27	Facility	26	$56.39	$112.55	$320.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.94 / $256.77 / $701.52	Professional		$128.94	$256.77	$701.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.06 / $56.39 / $177.00	Professional	26	$42.06	$56.39	$177.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $64.47 / $131.75 / $456.88	Professional	52	$64.47	$131.75	$456.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $89.28 / $207.11 / $570.79	Professional	TC	$89.28	$207.11	$570.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.43 / $249.66 / $383.70	Professional		$129.43	$249.66	$383.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.79 / $64.34 / $111.32	Professional	26	$47.79	$64.34	$111.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $79.81 / $169.84 / $307.89	Professional	TC	$79.81	$169.84	$307.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $93.54 / $135.30	Professional		$32.57	$93.54	$135.30
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $198.33 / $198.33 / $198.33	Facility	26	$198.33	$198.33	$198.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $202.75 / $236.61 / $371.64	Professional		$202.75	$236.61	$371.64
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $75.34 / $87.93 / $111.22	Professional	26	$75.34	$87.93	$111.22
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $127.40 / $148.66 / $267.33	Professional	TC	$127.40	$148.66	$267.33
United Facility/Professional Professional Modifier Low / Median / High Price $136.51 / $200.50 / $372.05	Professional		$136.51	$200.50	$372.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.32 / $51.09 / $100.62	Professional	26	$43.32	$51.09	$100.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $86.20 / $152.11 / $239.01	Professional	TC	$86.20	$152.11	$239.01