Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.00 / $128.00 / $128.00	Facility	26	$128.00	$128.00	$128.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.47 / $475.00 / $1,714.76	Professional		$290.47	$475.00	$1,714.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.88 / $140.00 / $322.00	Professional	26	$69.88	$140.00	$322.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $220.59 / $335.00 / $670.24	Professional	TC	$220.59	$335.00	$670.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.17 / $551.28 / $824.84	Professional		$327.17	$551.28	$824.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.45 / $90.32 / $176.31	Professional	26	$64.45	$90.32	$176.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $260.26 / $471.79 / $685.84	Professional	TC	$260.26	$471.79	$685.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.14 / $201.74 / $301.69	Professional		$53.14	$201.74	$301.69
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $418.84 / $418.84 / $418.84	Facility	26	$418.84	$418.84	$418.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $517.03 / $602.50 / $826.54	Professional		$517.03	$602.50	$826.54
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $101.62 / $118.59 / $155.50	Professional	26	$101.62	$118.59	$155.50
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $415.41 / $487.36 / $671.03	Professional	TC	$415.41	$487.36	$671.03
United Facility/Professional Professional Modifier Low / Median / High Price $342.35 / $482.01 / $803.52	Professional		$342.35	$482.01	$803.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.51 / $75.06 / $124.81	Professional	26	$61.51	$75.06	$124.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $278.54 / $420.50 / $653.75	Professional	TC	$278.54	$420.50	$653.75