Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.39 / $64.84 / $279.27	Facility	26	$56.39	$64.84	$279.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $263.50 / $900.55	Professional		$126.00	$263.50	$900.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.04 / $56.39 / $146.44	Professional	26	$42.04	$56.39	$146.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $89.98 / $207.11 / $292.02	Professional	TC	$89.98	$207.11	$292.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.14 / $243.33 / $383.70	Professional		$126.14	$243.33	$383.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.06 / $64.34 / $102.56	Professional	26	$42.06	$64.34	$102.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $80.44 / $171.25 / $307.89	Professional	TC	$80.44	$171.25	$307.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $93.54 / $135.30	Professional		$32.57	$93.54	$135.30
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 $197.79 / $230.82 / $372.18	Professional		$197.79	$230.82	$372.18
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $69.40 / $80.98 / $106.71	Professional	26	$69.40	$80.98	$106.71
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $128.38 / $149.83 / $269.39	Professional	TC	$128.38	$149.83	$269.39
United Facility/Professional Professional Modifier Low / Median / High Price $134.36 / $214.86 / $408.87	Professional		$134.36	$214.86	$408.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.32 / $50.28 / $87.13	Professional	26	$43.32	$50.28	$87.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.80 / $160.22 / $213.11	Professional	TC	$90.80	$160.22	$213.11