Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.38 / $67.38 / $67.38	Facility	26	$67.38	$67.38	$67.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.08 / $406.50 / $1,361.63	Professional		$218.08	$406.50	$1,361.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.43 / $67.38 / $128.88	Professional	26	$55.43	$67.38	$128.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.65 / $339.12 / $365.54	Professional	TC	$162.65	$339.12	$365.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.34 / $370.02 / $548.29	Professional		$244.34	$370.02	$548.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.32 / $71.06 / $124.57	Professional	26	$51.32	$71.06	$124.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $188.83 / $303.75 / $466.66	Professional	TC	$188.83	$303.75	$466.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $160.06 / $234.41	Professional		$32.57	$160.06	$234.41
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 $385.67 / $448.24 / $534.14	Professional		$385.67	$448.24	$534.14
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $84.28 / $98.35 / $129.99	Professional	26	$84.28	$98.35	$129.99
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $301.39 / $351.73 / $408.71	Professional	TC	$301.39	$351.73	$408.71
United Facility/Professional Professional Modifier Low / Median / High Price $234.98 / $317.18 / $551.53	Professional		$234.98	$317.18	$551.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.70 / $58.14 / $108.35	Professional	26	$51.70	$58.14	$108.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $181.91 / $251.41 / $426.96	Professional	TC	$181.91	$251.41	$426.96