Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.38 / $67.38 / $67.38	Facility	26	$67.38	$67.38	$67.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $335.06 / $1,102.17	Professional		$171.00	$335.06	$1,102.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.25 / $67.38 / $218.52	Professional	26	$54.25	$67.38	$218.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $267.68 / $377.42	Professional	TC	$119.70	$267.68	$377.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.90 / $306.73 / $455.92	Professional		$163.90	$306.73	$455.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.32 / $71.45 / $125.27	Professional	26	$51.32	$71.45	$125.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $108.08 / $221.36 / $376.46	Professional	TC	$108.08	$221.36	$376.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $100.92 / $168.84	Professional		$32.57	$100.92	$168.84
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 $257.27 / $300.24 / $465.13	Professional		$257.27	$300.24	$465.13
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $84.77 / $98.92 / $130.88	Professional	26	$84.77	$98.92	$130.88
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $172.51 / $201.32 / $339.07	Professional	TC	$172.51	$201.32	$339.07
United Facility/Professional Professional Modifier Low / Median / High Price $168.72 / $293.06 / $507.99	Professional		$168.72	$293.06	$507.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.23 / $58.14 / $108.35	Professional	26	$51.23	$58.14	$108.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $115.64 / $152.55 / $271.42	Professional	TC	$115.64	$152.55	$271.42