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 $346.09 / $475.00 / $1,460.00	Professional		$346.09	$475.00	$1,460.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.87 / $154.00 / $397.47	Professional	26	$85.87	$154.00	$397.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $260.22 / $335.00 / $790.43	Professional	TC	$260.22	$335.00	$790.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.91 / $587.83 / $808.87	Professional		$323.91	$587.83	$808.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.95 / $112.24 / $220.19	Professional	26	$78.95	$112.24	$220.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $241.93 / $466.69 / $662.13	Professional	TC	$241.93	$466.69	$662.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.16 / $256.52 / $374.70	Professional		$94.16	$256.52	$374.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $510.59 / $595.85 / $804.62	Professional		$510.59	$595.85	$804.62
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $124.43 / $145.19 / $192.60	Professional	26	$124.43	$145.19	$192.60
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $386.16 / $450.65 / $619.09	Professional	TC	$386.16	$450.65	$619.09
United Facility/Professional Professional Modifier Low / Median / High Price $331.61 / $473.34 / $861.83	Professional		$331.61	$473.34	$861.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.11 / $87.40 / $153.41	Professional	26	$77.11	$87.40	$153.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $253.69 / $396.23 / $595.44	Professional	TC	$253.69	$396.23	$595.44