Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.37 / $64.37 / $64.37	Facility	26	$64.37	$64.37	$64.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.23 / $317.89 / $1,230.00	Professional		$215.23	$317.89	$1,230.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.56 / $94.53 / $217.00	Professional	26	$52.56	$94.53	$217.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.66 / $253.53 / $365.90	Professional	TC	$162.66	$253.53	$365.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.20 / $294.47 / $497.12	Professional		$218.20	$294.47	$497.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.90 / $68.09 / $119.39	Professional	26	$48.90	$68.09	$119.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $163.00 / $227.46 / $377.73	Professional	TC	$163.00	$227.46	$377.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $160.06 / $230.95	Professional		$32.57	$160.06	$230.95
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 $349.48 / $406.32 / $457.32	Professional		$349.48	$406.32	$457.32
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $80.80 / $94.30 / $124.03	Professional	26	$80.80	$94.30	$124.03
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $268.68 / $309.02 / $350.24	Professional	TC	$268.68	$309.02	$350.24
United Facility/Professional Professional Modifier Low / Median / High Price $208.90 / $275.91 / $480.27	Professional		$208.90	$275.91	$480.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.83 / $55.76 / $98.41	Professional	26	$48.83	$55.76	$98.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $158.59 / $201.86 / $363.49	Professional	TC	$158.59	$201.86	$363.49