Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.87 / $68.87 / $346.29	Facility	26	$68.87	$68.87	$346.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.33 / $332.54 / $1,085.00	Professional		$122.33	$332.54	$1,085.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.84 / $63.15 / $217.21	Professional	26	$35.84	$63.15	$217.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $109.26 / $259.17 / $376.39	Professional	TC	$109.26	$259.17	$376.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.21 / $307.12 / $457.47	Professional		$162.21	$307.12	$457.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.58 / $69.09 / $125.10	Professional	26	$51.58	$69.09	$125.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $108.70 / $219.95 / $376.46	Professional	TC	$108.70	$219.95	$376.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $100.92 / $169.13	Professional		$32.57	$100.92	$169.13
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $324.95 / $324.95 / $324.95	Facility	26	$324.95	$324.95	$324.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $254.80 / $297.35 / $465.26	Professional		$254.80	$297.35	$465.26
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $81.30 / $94.87 / $132.91	Professional	26	$81.30	$94.87	$132.91
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $173.50 / $202.48 / $336.99	Professional	TC	$173.50	$202.48	$336.99
United Facility/Professional Professional Modifier Low / Median / High Price $169.33 / $226.44 / $450.00	Professional		$169.33	$226.44	$450.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.50 / $59.28 / $108.60	Professional	26	$51.50	$59.28	$108.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $115.03 / $197.31 / $303.55	Professional	TC	$115.03	$197.31	$303.55