Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.00 / $399.46 / $464.70	Facility	26	$128.00	$399.46	$464.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.92 / $475.00 / $1,256.96	Professional		$197.92	$475.00	$1,256.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.79 / $128.00 / $316.95	Professional	26	$64.79	$128.00	$316.95
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $98.96 / $237.50 / $628.48	Professional	52	$98.96	$237.50	$628.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $170.71 / $335.00 / $594.75	Professional	TC	$170.71	$335.00	$594.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.53 / $363.78 / $724.54	Professional		$186.53	$363.78	$724.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.67 / $87.30 / $153.05	Professional	26	$62.67	$87.30	$153.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $118.33 / $247.76 / $627.50	Professional	TC	$118.33	$247.76	$627.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.14 / $114.37 / $162.96	Professional		$53.14	$114.37	$162.96
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 $292.47 / $341.32 / $475.28	Professional		$292.47	$341.32	$475.28
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $103.61 / $120.91 / $158.44	Professional	26	$103.61	$120.91	$158.44
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $188.87 / $220.41 / $320.77	Professional	TC	$188.87	$220.41	$320.77
United Facility/Professional Professional Modifier Low / Median / High Price $187.74 / $302.95 / $637.50	Professional		$187.74	$302.95	$637.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.61 / $71.06 / $129.46	Professional	26	$62.61	$71.06	$129.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $123.01 / $217.08 / $421.09	Professional	TC	$123.01	$217.08	$421.09