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 / $423.89	Facility	26	$128.00	$128.00	$423.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.07 / $390.38 / $1,262.00	Professional		$145.07	$390.38	$1,262.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.32 / $140.00 / $344.68	Professional	26	$62.32	$140.00	$344.68
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $104.35 / $237.50 / $665.13	Professional	52	$104.35	$237.50	$665.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $335.00 / $565.00	Professional	TC	$187.50	$335.00	$565.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.42 / $383.86 / $703.08	Professional		$197.42	$383.86	$703.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.68 / $79.77 / $139.85	Professional	26	$57.68	$79.77	$139.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $135.10 / $280.64 / $614.82	Professional	TC	$135.10	$280.64	$614.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.98 / $117.48 / $194.69	Professional		$52.98	$117.48	$194.69
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 $310.32 / $362.14 / $495.47	Professional		$310.32	$362.14	$495.47
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $94.68 / $110.49 / $145.72	Professional	26	$94.68	$110.49	$145.72
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $215.64 / $251.65 / $353.24	Professional	TC	$215.64	$251.65	$353.24
United Facility/Professional Professional Modifier Low / Median / High Price $198.48 / $376.65 / $626.55	Professional		$198.48	$376.65	$626.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.22 / $63.33 / $119.63	Professional	26	$57.22	$63.33	$119.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.66 / $244.69 / $446.68	Professional	TC	$138.66	$244.69	$446.68