Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.01 / $70.01 / $70.01	Facility	26	$70.01	$70.01	$70.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.85 / $405.50 / $459.07	Professional		$192.85	$405.50	$459.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.98 / $70.01 / $134.56	Professional	26	$57.98	$70.01	$134.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $134.87 / $302.99 / $391.66	Professional	TC	$134.87	$302.99	$391.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.96 / $370.29 / $557.46	Professional		$191.96	$370.29	$557.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.40 / $74.38 / $130.38	Professional	26	$53.40	$74.38	$130.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $133.85 / $272.89 / $473.91	Professional	TC	$133.85	$272.89	$473.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $133.39 / $202.48	Professional		$32.57	$133.39	$202.48
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 $301.89 / $350.00 / $552.67	Professional		$301.89	$350.00	$552.67
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $88.24 / $102.97 / $136.11	Professional	26	$88.24	$102.97	$136.11
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $213.65 / $249.33 / $422.24	Professional	TC	$213.65	$249.33	$422.24
United Facility/Professional Professional Modifier Low / Median / High Price $197.86 / $318.44 / $464.40	Professional		$197.86	$318.44	$464.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.33 / $60.86 / $109.82	Professional	26	$53.33	$60.86	$109.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $142.94 / $221.63 / $400.77	Professional	TC	$142.94	$221.63	$400.77