Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.51 / $439.59 / $550.04	Facility	26	$106.51	$439.59	$550.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.91 / $467.75 / $1,567.56	Professional		$272.91	$467.75	$1,567.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.43 / $97.15 / $335.70	Professional	26	$77.43	$97.15	$335.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.63 / $361.24 / $589.64	Professional	TC	$162.63	$361.24	$589.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.00 / $503.05 / $789.21	Professional		$273.00	$503.05	$789.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.17 / $118.88 / $232.83	Professional	26	$80.17	$118.88	$232.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $189.76 / $366.04 / $594.16	Professional	TC	$189.76	$366.04	$594.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $147.66 / $261.12	Professional		$80.09	$147.66	$261.12
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 $429.29 / $489.60 / $725.63	Professional		$429.29	$489.60	$725.63
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $126.41 / $147.52 / $197.87	Professional	26	$126.41	$147.52	$197.87
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $302.89 / $350.00 / $527.77	Professional	TC	$302.89	$350.00	$527.77
United Facility/Professional Professional Modifier Low / Median / High Price $261.66 / $405.48 / $614.15	Professional		$261.66	$405.48	$614.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.14 / $84.32 / $154.80	Professional	26	$79.14	$84.32	$154.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $182.52 / $314.13 / $511.69	Professional	TC	$182.52	$314.13	$511.69