Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.91 / $100.91 / $100.91	Facility	26	$100.91	$100.91	$100.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.23 / $462.15 / $1,146.96	Professional		$244.23	$462.15	$1,146.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.27 / $100.91 / $326.13	Professional	26	$80.27	$100.91	$326.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.96 / $361.24 / $509.34	Professional	TC	$162.96	$361.24	$509.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.12 / $485.11 / $695.32	Professional		$293.12	$485.11	$695.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.88 / $104.93 / $183.96	Professional	26	$75.88	$104.93	$183.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $207.99 / $385.48 / $575.98	Professional	TC	$207.99	$385.48	$575.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $147.66 / $258.77	Professional		$80.09	$147.66	$258.77
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $324.95 / $324.95 / $324.95	Facility	26	$324.95	$324.95	$324.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $464.49 / $534.87 / $753.38	Professional		$464.49	$534.87	$753.38
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $124.43 / $145.19 / $193.32	Professional	26	$124.43	$145.19	$193.32
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $340.07 / $394.03 / $566.99	Professional	TC	$340.07	$394.03	$566.99
United Facility/Professional Professional Modifier Low / Median / High Price $278.54 / $388.72 / $653.75	Professional		$278.54	$388.72	$653.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.51 / $78.79 / $152.40	Professional	26	$75.51	$78.79	$152.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $200.62 / $311.32 / $470.87	Professional	TC	$200.62	$311.32	$470.87