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 $282.70 / $475.00 / $868.87	Professional		$282.70	$475.00	$868.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.59 / $128.00 / $472.00	Professional	26	$79.59	$128.00	$472.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.45 / $512.07 / $805.46	Professional		$265.45	$512.07	$805.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.00 / $106.73 / $183.12	Professional	26	$77.00	$106.73	$183.12
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 $417.39 / $487.10 / $646.04	Professional		$417.39	$487.10	$646.04
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $123.93 / $144.63 / $191.73	Professional	26	$123.93	$144.63	$191.73
United Facility/Professional Professional Modifier Low / Median / High Price $270.56 / $417.49 / $637.50	Professional		$270.56	$417.49	$637.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.61 / $86.74 / $171.36	Professional	26	$77.61	$86.74	$171.36