Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.39 / $56.39 / $298.83	Facility	26	$56.39	$56.39	$298.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.31 / $263.50 / $900.55	Professional		$126.31	$263.50	$900.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.07 / $54.62 / $190.03	Professional	26	$16.07	$54.62	$190.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $90.34 / $207.11 / $293.55	Professional	TC	$90.34	$207.11	$293.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.45 / $248.97 / $384.19	Professional		$126.45	$248.97	$384.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.63 / $64.34 / $106.21	Professional	26	$42.63	$64.34	$106.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $80.75 / $172.20 / $308.39	Professional	TC	$80.75	$172.20	$308.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $93.54 / $135.72	Professional		$32.57	$93.54	$135.72
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $198.33 / $198.33 / $198.33	Facility	26	$198.33	$198.33	$198.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $198.29 / $231.40 / $380.05	Professional		$198.29	$231.40	$380.05
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $69.40 / $80.98 / $114.16	Professional	26	$69.40	$80.98	$114.16
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $128.88 / $150.41 / $270.70	Professional	TC	$128.88	$150.41	$270.70
United Facility/Professional Professional Modifier Low / Median / High Price $134.36 / $203.68 / $376.67	Professional		$134.36	$203.68	$376.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.56 / $48.28 / $102.25	Professional	26	$43.56	$48.28	$102.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.80 / $112.57 / $239.40	Professional	TC	$90.80	$112.57	$239.40