Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.00 / $429.42 / $464.70	Facility	26	$128.00	$429.42	$464.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $475.00 / $1,222.20	Professional		$207.13	$475.00	$1,222.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.50 / $140.00 / $353.22	Professional	26	$64.50	$140.00	$353.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.16 / $335.00 / $565.00	Professional	TC	$131.16	$335.00	$565.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.60 / $368.48 / $732.86	Professional		$185.60	$368.48	$732.86
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 $117.70 / $249.55 / $627.99	Professional	TC	$117.70	$249.55	$627.99
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 $290.99 / $339.58 / $474.43	Professional		$290.99	$339.58	$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 $187.88 / $219.25 / $320.77	Professional	TC	$187.88	$219.25	$320.77
United Facility/Professional Professional Modifier Low / Median / High Price $187.43 / $330.77 / $637.50	Professional		$187.43	$330.77	$637.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.73 / $69.29 / $151.91	Professional	26	$64.73	$69.29	$151.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $122.70 / $195.20 / $413.25	Professional	TC	$122.70	$195.20	$413.25