Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.37 / $64.37 / $64.37	Facility	26	$64.37	$64.37	$64.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.29 / $284.00 / $455.90	Professional		$117.29	$284.00	$455.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.25 / $74.50 / $284.00	Professional	26	$52.25	$74.50	$284.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.15 / $258.97 / $365.14	Professional	TC	$144.15	$258.97	$365.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.51 / $293.51 / $457.58	Professional		$194.51	$293.51	$457.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.90 / $68.09 / $119.39	Professional	26	$48.90	$68.09	$119.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $141.31 / $230.34 / $353.34	Professional	TC	$141.31	$230.34	$353.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $133.39 / $197.96	Professional		$32.57	$133.39	$197.96
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 $306.35 / $351.55 / $453.96	Professional		$306.35	$351.55	$453.96
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $80.80 / $94.30 / $124.03	Professional	26	$80.80	$94.30	$124.03
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $225.55 / $263.22 / $333.61	Professional	TC	$225.55	$263.22	$333.61
United Facility/Professional Professional Modifier Low / Median / High Price $192.03 / $255.59 / $450.72	Professional		$192.03	$255.59	$450.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.84 / $55.48 / $98.41	Professional	26	$48.84	$55.48	$98.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.72 / $193.55 / $332.63	Professional	TC	$141.72	$193.55	$332.63