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 $199.09 / $475.00 / $2,713.27	Professional		$199.09	$475.00	$2,713.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.56 / $170.31 / $540.00	Professional	26	$100.56	$170.31	$540.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $305.00 / $368.50 / $2,121.39	Professional	TC	$305.00	$368.50	$2,121.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.66 / $745.40 / $1,270.31	Professional		$397.66	$745.40	$1,270.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.37 / $126.18 / $221.21	Professional	26	$91.37	$126.18	$221.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $299.08 / $576.91 / $1,133.81	Professional	TC	$299.08	$576.91	$1,133.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.95 / $264.33 / $389.39	Professional		$79.95	$264.33	$389.39
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 $627.08 / $729.93 / $999.59	Professional		$627.08	$729.93	$999.59
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $149.71 / $174.71 / $230.86	Professional	26	$149.71	$174.71	$230.86
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $477.38 / $557.10 / $771.26	Professional	TC	$477.38	$557.10	$771.26
United Facility/Professional Professional Modifier Low / Median / High Price $413.52 / $631.30 / $970.57	Professional		$413.52	$631.30	$970.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.26 / $98.74 / $182.40	Professional	26	$91.26	$98.74	$182.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $320.26 / $396.72 / $897.85	Professional	TC	$320.26	$396.72	$897.85