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 $280.42 / $475.00 / $1,799.81	Professional		$280.42	$475.00	$1,799.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.17 / $140.00 / $322.00	Professional	26	$83.17	$140.00	$322.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $195.26 / $333.16 / $593.59	Professional	TC	$195.26	$333.16	$593.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.27 / $507.88 / $845.81	Professional		$263.27	$507.88	$845.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.78 / $104.85 / $183.81	Professional	26	$75.78	$104.85	$183.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $181.37 / $380.62 / $728.52	Professional	TC	$181.37	$380.62	$728.52
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 $413.93 / $483.05 / $642.53	Professional		$413.93	$483.05	$642.53
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $124.43 / $145.19 / $191.73	Professional	26	$124.43	$145.19	$191.73
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $289.50 / $337.84 / $457.39	Professional	TC	$289.50	$337.84	$457.39
United Facility/Professional Professional Modifier Low / Median / High Price $268.11 / $430.04 / $650.00	Professional		$268.11	$430.04	$650.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.20 / $86.03 / $151.81	Professional	26	$75.20	$86.03	$151.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $190.49 / $268.93 / $479.28	Professional	TC	$190.49	$268.93	$479.28