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 $199.50 / $475.00 / $1,973.38	Professional		$199.50	$475.00	$1,973.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.06 / $148.25 / $383.58	Professional	26	$73.06	$148.25	$383.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $220.61 / $335.00 / $812.00	Professional	TC	$220.61	$335.00	$812.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.01 / $503.68 / $740.92	Professional		$294.01	$503.68	$740.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.27 / $79.77 / $139.85	Professional	26	$57.27	$79.77	$139.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $231.68 / $430.77 / $641.86	Professional	TC	$231.68	$430.77	$641.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.98 / $201.74 / $291.27	Professional		$52.98	$201.74	$291.27
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $418.84 / $418.84 / $418.84	Facility	26	$418.84	$418.84	$418.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $464.49 / $542.04 / $726.57	Professional		$464.49	$542.04	$726.57
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $94.68 / $110.49 / $143.43	Professional	26	$94.68	$110.49	$143.43
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $369.81 / $432.03 / $583.15	Professional	TC	$369.81	$432.03	$583.15
United Facility/Professional Professional Modifier Low / Median / High Price $304.61 / $430.04 / $714.96	Professional		$304.61	$430.04	$714.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.18 / $62.36 / $115.20	Professional	26	$57.18	$62.36	$115.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $245.71 / $366.07 / $576.72	Professional	TC	$245.71	$366.07	$576.72