Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.01 / $76.01 / $76.01	Facility	26	$76.01	$76.01	$76.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.21 / $411.86 / $1,310.38	Professional		$192.21	$411.86	$1,310.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.03 / $76.01 / $303.24	Professional	26	$57.03	$76.01	$303.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $135.18 / $335.85 / $473.54	Professional	TC	$135.18	$335.85	$473.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.37 / $370.53 / $564.27	Professional		$190.37	$370.53	$564.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.05 / $76.48 / $133.44	Professional	26	$55.05	$76.48	$133.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $133.22 / $271.47 / $473.42	Professional	TC	$133.22	$271.47	$473.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $133.39 / $202.48	Professional		$32.57	$133.39	$202.48
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 $299.41 / $349.41 / $560.10	Professional		$299.41	$349.41	$560.10
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $86.75 / $101.24 / $147.31	Professional	26	$86.75	$101.24	$147.31
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $212.66 / $248.18 / $418.86	Professional	TC	$212.66	$248.18	$418.86
United Facility/Professional Professional Modifier Low / Median / High Price $200.32 / $310.58 / $470.17	Professional		$200.32	$310.58	$470.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.34 / $66.84 / $116.99	Professional	26	$58.34	$66.84	$116.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $140.51 / $247.95 / $480.35	Professional	TC	$140.51	$247.95	$480.35