Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.00 / $147.19 / $719.06	Facility	26	$128.00	$147.19	$719.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.83 / $522.50 / $2,074.27	Professional		$331.83	$522.50	$2,074.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $103.03 / $187.98 / $531.60	Professional	26	$103.03	$187.98	$531.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $222.56 / $335.00 / $676.70	Professional	TC	$222.56	$335.00	$676.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.63 / $601.13 / $1,311.47	Professional		$311.63	$601.13	$1,311.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $103.01 / $143.11 / $235.84	Professional	26	$103.01	$143.11	$235.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $206.53 / $441.80 / $1,148.55	Professional	TC	$206.53	$441.80	$1,148.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $176.80 / $293.19	Professional		$80.09	$176.80	$293.19
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 $489.28 / $562.82 / $766.70	Professional		$489.28	$562.82	$766.70
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $159.62 / $186.28 / $245.05	Professional	26	$159.62	$186.28	$245.05
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $329.65 / $384.70 / $530.47	Professional	TC	$329.65	$384.70	$530.47
United Facility/Professional Professional Modifier Low / Median / High Price $317.50 / $508.82 / $819.74	Professional		$317.50	$508.82	$819.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $99.70 / $110.98 / $212.55	Professional	26	$99.70	$110.98	$212.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $217.80 / $344.13 / $715.38	Professional	TC	$217.80	$344.13	$715.38