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 / $335.06 / $1,104.16	Professional		$171.00	$335.06	$1,104.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.25 / $73.97 / $268.42	Professional	26	$54.25	$73.97	$268.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $267.31 / $376.90	Professional	TC	$119.70	$267.31	$376.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.21 / $306.37 / $455.42	Professional		$164.21	$306.37	$455.42
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 $108.39 / $220.42 / $375.97	Professional	TC	$108.39	$220.42	$375.97
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 $257.77 / $300.82 / $463.78	Professional		$257.77	$300.82	$463.78
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 $173.01 / $201.90 / $337.71	Professional	TC	$173.01	$201.90	$337.71
United Facility/Professional Professional Modifier Low / Median / High Price $169.02 / $264.83 / $473.85	Professional		$169.02	$264.83	$473.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.63 / $58.14 / $106.15	Professional	26	$50.63	$58.14	$106.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $115.95 / $197.89 / $291.83	Professional	TC	$115.95	$197.89	$291.83