Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.47 / $56.47 / $56.47	Facility	26	$56.47	$56.47	$56.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.36 / $170.34 / $564.00	Professional		$46.36	$170.34	$564.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.41 / $64.94 / $213.54	Professional	26	$44.41	$64.94	$213.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $111.98 / $207.11 / $631.84	Professional	TC	$111.98	$207.11	$631.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.27 / $245.40 / $471.29	Professional		$156.27	$245.40	$471.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.06 / $60.65 / $102.56	Professional	26	$42.06	$60.65	$102.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $110.56 / $186.08 / $282.70	Professional	TC	$110.56	$186.08	$282.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $101.69 / $167.13	Professional		$32.57	$101.69	$167.13
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $198.33 / $198.33 / $198.33	Facility	26	$198.33	$198.33	$198.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $245.88 / $286.94 / $371.84	Professional		$245.88	$286.94	$371.84
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $69.40 / $80.98 / $106.71	Professional	26	$69.40	$80.98	$106.71
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $176.47 / $205.95 / $267.33	Professional	TC	$176.47	$205.95	$267.33
United Facility/Professional Professional Modifier Low / Median / High Price $154.30 / $209.38 / $372.05	Professional		$154.30	$209.38	$372.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.32 / $48.28 / $86.15	Professional	26	$43.32	$48.28	$86.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $110.74 / $156.34 / $259.91	Professional	TC	$110.74	$156.34	$259.91