Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.73 / $67.73 / $67.73	Facility	26	$67.73	$67.73	$67.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $335.78 / $1,140.00	Professional		$171.00	$335.78	$1,140.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.74 / $88.79 / $290.00	Professional	26	$55.74	$88.79	$290.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $268.04 / $377.93	Professional	TC	$119.70	$268.04	$377.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.14 / $306.73 / $456.41	Professional		$165.14	$306.73	$456.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.57 / $71.84 / $125.96	Professional	26	$51.57	$71.84	$125.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $109.01 / $221.84 / $376.46	Professional	TC	$109.01	$221.84	$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 $324.95 / $324.95 / $324.95	Facility	26	$324.95	$324.95	$324.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $259.26 / $302.56 / $465.13	Professional		$259.26	$302.56	$465.13
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $85.27 / $99.50 / $129.99	Professional	26	$85.27	$99.50	$129.99
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $174.00 / $203.05 / $339.07	Professional	TC	$174.00	$203.05	$339.07
United Facility/Professional Professional Modifier Low / Median / High Price $169.95 / $268.38 / $483.72	Professional		$169.95	$268.38	$483.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.53 / $58.82 / $106.15	Professional	26	$51.53	$58.82	$106.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $116.88 / $180.45 / $338.36	Professional	TC	$116.88	$180.45	$338.36