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 $330.86 / $475.00 / $2,070.19	Professional		$330.86	$475.00	$2,070.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.27 / $166.79 / $522.77	Professional	26	$98.27	$166.79	$522.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $221.58 / $335.00 / $1,438.72	Professional	TC	$221.58	$335.00	$1,438.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.01 / $599.92 / $1,298.09	Professional		$311.01	$599.92	$1,298.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.36 / $134.53 / $235.84	Professional	26	$97.36	$134.53	$235.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $205.91 / $440.60 / $1,148.55	Professional	TC	$205.91	$440.60	$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 $488.29 / $561.13 / $765.02	Professional		$488.29	$561.13	$765.02
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 $328.66 / $383.55 / $527.08	Professional	TC	$328.66	$383.55	$527.08
United Facility/Professional Professional Modifier Low / Median / High Price $316.89 / $601.36 / $888.39	Professional		$316.89	$601.36	$888.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $98.66 / $110.50 / $197.22	Professional	26	$98.66	$110.50	$197.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $217.19 / $412.17 / $613.74	Professional	TC	$217.19	$412.17	$613.74