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 $332.16 / $475.00 / $2,078.35	Professional		$332.16	$475.00	$2,078.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $103.44 / $191.74 / $563.97	Professional	26	$103.44	$191.74	$563.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $222.88 / $335.00 / $677.69	Professional	TC	$222.88	$335.00	$677.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.25 / $602.33 / $1,311.03	Professional		$312.25	$602.33	$1,311.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $103.01 / $142.46 / $235.84	Professional	26	$103.01	$142.46	$235.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $207.15 / $415.19 / $1,148.55	Professional	TC	$207.15	$415.19	$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 $490.27 / $563.37 / $767.39	Professional		$490.27	$563.37	$767.39
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $159.62 / $186.28 / $246.83	Professional	26	$159.62	$186.28	$246.83
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $330.64 / $385.86 / $531.14	Professional	TC	$330.64	$385.86	$531.14
United Facility/Professional Professional Modifier Low / Median / High Price $318.11 / $509.84 / $937.08	Professional		$318.11	$509.84	$937.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $99.70 / $111.28 / $207.31	Professional	26	$99.70	$111.28	$207.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $218.41 / $346.17 / $689.93	Professional	TC	$218.41	$346.17	$689.93