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 / $575.36	Facility	26	$128.00	$128.00	$575.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.82 / $475.00 / $1,542.43	Professional		$238.82	$475.00	$1,542.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.45 / $148.76 / $271.00	Professional	26	$68.45	$148.76	$271.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $119.41 / $237.50 / $771.22	Professional	52	$119.41	$237.50	$771.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $335.00 / $812.00	Professional	TC	$187.50	$335.00	$812.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.82 / $490.36 / $733.72	Professional		$222.82	$490.36	$733.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.77 / $86.05 / $150.86	Professional	26	$61.77	$86.05	$150.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $155.59 / $392.97 / $638.15	Professional	TC	$155.59	$392.97	$638.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.98 / $138.88 / $200.77	Professional		$52.98	$138.88	$200.77
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $418.84 / $418.84 / $418.84	Facility	26	$418.84	$418.84	$418.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $350.48 / $409.00 / $750.61	Professional		$350.48	$409.00	$750.61
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $102.11 / $119.17 / $156.22	Professional	26	$102.11	$119.17	$156.22
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $248.36 / $290.07 / $594.40	Professional	TC	$248.36	$290.07	$594.40
United Facility/Professional Professional Modifier Low / Median / High Price $229.76 / $405.47 / $644.14	Professional		$229.76	$405.47	$644.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.38 / $64.25 / $149.77	Professional	26	$62.38	$64.25	$149.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $165.95 / $306.83 / $465.25	Professional	TC	$165.95	$306.83	$465.25