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 $460.76 / $522.50 / $2,843.42	Professional		$460.76	$522.50	$2,843.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.60 / $154.00 / $339.80	Professional	26	$107.60	$154.00	$339.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $305.00 / $368.50 / $1,073.40	Professional	TC	$305.00	$368.50	$1,073.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.91 / $836.89 / $1,325.91	Professional		$456.91	$836.89	$1,325.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.68 / $140.04 / $273.94	Professional	26	$99.68	$140.04	$273.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $353.43 / $681.76 / $1,177.46	Professional	TC	$353.43	$681.76	$1,177.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.03 / $317.02 / $461.90	Professional		$80.03	$317.02	$461.90
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $669.98 / $669.98 / $669.98	Facility	26	$669.98	$669.98	$669.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $721.27 / $841.15 / $1,159.50	Professional		$721.27	$841.15	$1,159.50
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $157.13 / $183.38 / $243.84	Professional	26	$157.13	$183.38	$243.84
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $564.13 / $658.33 / $915.66	Professional	TC	$564.13	$658.33	$915.66
United Facility/Professional Professional Modifier Low / Median / High Price $477.94 / $715.65 / $1,121.77	Professional		$477.94	$715.65	$1,121.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $94.97 / $108.12 / $190.79	Professional	26	$94.97	$108.12	$190.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $380.39 / $558.97 / $1,056.44	Professional	TC	$380.39	$558.97	$1,056.44