Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.00 / $245.90 / $464.70	Facility	26	$128.00	$245.90	$464.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.59 / $475.00 / $1,250.14	Professional		$197.59	$475.00	$1,250.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.28 / $140.00 / $306.00	Professional	26	$66.28	$140.00	$306.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $98.80 / $237.50 / $513.24	Professional	52	$98.80	$237.50	$513.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $130.81 / $305.00 / $565.00	Professional	TC	$130.81	$305.00	$565.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.91 / $365.60 / $699.65	Professional		$185.91	$365.60	$699.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.20 / $89.00 / $152.35	Professional	26	$64.20	$89.00	$152.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $118.02 / $249.55 / $594.78	Professional	TC	$118.02	$249.55	$594.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.14 / $114.37 / $164.96	Professional		$53.14	$114.37	$164.96
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $418.84 / $418.84 / $418.84	Facility	26	$418.84	$418.84	$418.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $291.48 / $340.16 / $474.43	Professional		$291.48	$340.16	$474.43
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $103.11 / $120.33 / $157.72	Professional	26	$103.11	$120.33	$157.72
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $188.37 / $219.83 / $320.77	Professional	TC	$188.37	$219.83	$320.77
United Facility/Professional Professional Modifier Low / Median / High Price $187.43 / $234.88 / $538.46	Professional		$187.43	$234.88	$538.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.73 / $83.09 / $151.91	Professional	26	$64.73	$83.09	$151.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $122.70 / $232.86 / $461.69	Professional	TC	$122.70	$232.86	$461.69