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 / $56.39	Facility	26	$56.39	$56.39	$56.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.87 / $263.50 / $896.36	Professional		$135.87	$263.50	$896.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.18 / $51.59 / $146.44	Professional	26	$9.18	$51.59	$146.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $90.69 / $207.11 / $292.02	Professional	TC	$90.69	$207.11	$292.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.52 / $242.13 / $383.21	Professional		$125.52	$242.13	$383.21
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 $79.90 / $169.84 / $307.39	Professional	TC	$79.90	$169.84	$307.39
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 $196.80 / $229.66 / $370.83	Professional		$196.80	$229.66	$370.83
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 $127.40 / $148.66 / $268.02	Professional	TC	$127.40	$148.66	$268.02
United Facility/Professional Professional Modifier Low / Median / High Price $133.75 / $214.29 / $372.10	Professional		$133.75	$214.29	$372.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.24 / $50.28 / $87.13	Professional	26	$43.24	$50.28	$87.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.19 / $132.16 / $249.40	Professional	TC	$90.19	$132.16	$249.40