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 / $655.74	Facility	26	$128.00	$128.00	$655.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.81 / $494.18 / $2,809.89	Professional		$353.81	$494.18	$2,809.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.61 / $154.00 / $544.00	Professional	26	$98.61	$154.00	$544.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $246.57 / $348.53 / $1,498.94	Professional	TC	$246.57	$348.53	$1,498.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.58 / $681.87 / $1,279.35	Professional		$327.58	$681.87	$1,279.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.20 / $128.71 / $227.09	Professional	26	$93.20	$128.71	$227.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $227.03 / $509.45 / $1,136.32	Professional	TC	$227.03	$509.45	$1,136.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.03 / $206.27 / $334.26	Professional		$80.03	$206.27	$334.26
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 $515.04 / $596.91 / $1,013.97	Professional		$515.04	$596.91	$1,013.97
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $152.69 / $178.18 / $243.84	Professional	26	$152.69	$178.18	$243.84
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $362.37 / $424.21 / $771.26	Professional	TC	$362.37	$424.21	$771.26
United Facility/Professional Professional Modifier Low / Median / High Price $337.13 / $573.44 / $945.13	Professional		$337.13	$573.44	$945.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.17 / $100.69 / $186.00	Professional	26	$93.17	$100.69	$186.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $242.03 / $427.11 / $932.60	Professional	TC	$242.03	$427.11	$932.60