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 $217.39 / $475.00 / $2,539.56	Professional		$217.39	$475.00	$2,539.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.87 / $170.31 / $493.02	Professional	26	$100.87	$170.31	$493.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $302.45 / $368.50 / $2,020.41	Professional	TC	$302.45	$368.50	$2,020.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.92 / $711.21 / $1,270.31	Professional		$375.92	$711.21	$1,270.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.37 / $126.58 / $221.90	Professional	26	$91.37	$126.58	$221.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $277.02 / $534.39 / $1,133.81	Professional	TC	$277.02	$534.39	$1,133.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $252.22 / $358.56	Professional		$80.09	$252.22	$358.56
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 $592.39 / $689.68 / $939.83	Professional		$592.39	$689.68	$939.83
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $150.19 / $175.29 / $230.86	Professional	26	$150.19	$175.29	$230.86
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $442.18 / $520.34 / $715.81	Professional	TC	$442.18	$520.34	$715.81
United Facility/Professional Professional Modifier Low / Median / High Price $390.20 / $599.26 / $915.85	Professional		$390.20	$599.26	$915.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $90.77 / $102.98 / $182.40	Professional	26	$90.77	$102.98	$182.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $296.95 / $508.28 / $824.97	Professional	TC	$296.95	$508.28	$824.97