Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.00 / $128.00 / $128.00	Facility	26	$128.00	$128.00	$128.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.62 / $483.24 / $1,781.34	Professional		$285.62	$483.24	$1,781.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.49 / $140.00 / $269.35	Professional	26	$85.49	$140.00	$269.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $200.14 / $335.00 / $608.42	Professional	TC	$200.14	$335.00	$608.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.94 / $516.86 / $855.61	Professional		$267.94	$516.86	$855.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.00 / $107.12 / $184.51	Professional	26	$77.00	$107.12	$184.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $185.72 / $386.38 / $729.50	Professional	TC	$185.72	$386.38	$729.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.95 / $173.89 / $261.12	Professional		$79.95	$173.89	$261.12
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 $421.36 / $491.73 / $650.25	Professional		$421.36	$491.73	$650.25
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $124.92 / $145.78 / $191.73	Professional	26	$124.92	$145.78	$191.73
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $296.44 / $345.94 / $466.23	Professional	TC	$296.44	$345.94	$466.23
United Facility/Professional Professional Modifier Low / Median / High Price $272.41 / $437.66 / $658.54	Professional		$272.41	$437.66	$658.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.79 / $87.09 / $162.86	Professional	26	$77.79	$87.09	$162.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $194.49 / $343.21 / $545.24	Professional	TC	$194.49	$343.21	$545.24