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 $279.67 / $475.00 / $1,753.31	Professional		$279.67	$475.00	$1,753.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.09 / $128.00 / $260.74	Professional	26	$80.09	$128.00	$260.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $196.89 / $305.00 / $598.54	Professional	TC	$196.89	$305.00	$598.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.00 / $553.50 / $834.58	Professional		$261.00	$553.50	$834.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.89 / $101.13 / $177.29	Professional	26	$72.89	$101.13	$177.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $181.99 / $420.86 / $720.94	Professional	TC	$181.99	$420.86	$720.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.95 / $176.22 / $266.98	Professional		$79.95	$176.22	$266.98
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 $410.45 / $479.00 / $823.09	Professional		$410.45	$479.00	$823.09
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $119.96 / $140.00 / $186.50	Professional	26	$119.96	$140.00	$186.50
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $290.49 / $339.00 / $642.07	Professional	TC	$290.49	$339.00	$642.07
United Facility/Professional Professional Modifier Low / Median / High Price $268.11 / $428.00 / $751.63	Professional		$268.11	$428.00	$751.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.51 / $83.64 / $150.93	Professional	26	$72.51	$83.64	$150.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $192.64 / $339.96 / $540.07	Professional	TC	$192.64	$339.96	$540.07