Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.00 / $1,234.00 / $1,321.00	Facility	26	$128.00	$1,234.00	$1,321.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.74 / $475.00 / $2,069.62	Professional		$191.74	$475.00	$2,069.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.31 / $161.00 / $388.22	Professional	26	$78.31	$161.00	$388.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $248.88 / $335.00 / $756.84	Professional	TC	$248.88	$335.00	$756.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.93 / $526.01 / $796.12	Professional		$303.93	$526.01	$796.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.67 / $95.65 / $167.69	Professional	26	$68.67	$95.65	$167.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $229.20 / $437.61 / $689.69	Professional	TC	$229.20	$437.61	$689.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.03 / $205.65 / $325.26	Professional		$80.03	$205.65	$325.26
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,301.63 / $1,301.63 / $1,301.63	Facility	26	$1,301.63	$1,301.63	$1,301.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $479.36 / $559.41 / $757.37	Professional		$479.36	$559.41	$757.37
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $113.52 / $132.47 / $174.42	Professional	26	$113.52	$132.47	$174.42
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $365.84 / $428.12 / $587.28	Professional	TC	$365.84	$428.12	$587.28
United Facility/Professional Professional Modifier Low / Median / High Price $315.66 / $386.27 / $740.87	Professional		$315.66	$386.27	$740.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.61 / $78.88 / $143.63	Professional	26	$68.61	$78.88	$143.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $244.49 / $382.76 / $684.29	Professional	TC	$244.49	$382.76	$684.29