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 $347.69 / $522.50 / $2,241.55	Professional		$347.69	$522.50	$2,241.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.20 / $141.22 / $322.00	Professional	26	$85.20	$141.22	$322.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $262.49 / $353.68 / $797.35	Professional	TC	$262.49	$353.68	$797.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.93 / $585.32 / $819.04	Professional		$327.93	$585.32	$819.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.84 / $104.51 / $183.22	Professional	26	$75.84	$104.51	$183.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $246.28 / $475.07 / $657.22	Professional	TC	$246.28	$475.07	$657.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.03 / $229.59 / $329.93	Professional		$80.03	$229.59	$329.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $517.03 / $603.38 / $814.03	Professional		$517.03	$603.38	$814.03
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $123.93 / $144.63 / $191.86	Professional	26	$123.93	$144.63	$191.86
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $393.10 / $458.75 / $629.91	Professional	TC	$393.10	$458.75	$629.91
United Facility/Professional Professional Modifier Low / Median / High Price $333.14 / $505.70 / $781.92	Professional		$333.14	$505.70	$781.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.90 / $81.86 / $154.58	Professional	26	$74.90	$81.86	$154.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $255.83 / $395.07 / $600.47	Professional	TC	$255.83	$395.07	$600.47