Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.47 / $64.94 / $469.00	Facility	26	$56.47	$64.94	$469.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.41 / $160.62 / $613.25	Professional		$44.41	$160.62	$613.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.96 / $59.09 / $177.29	Professional	26	$44.96	$59.09	$177.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $90.69 / $207.11 / $292.02	Professional	TC	$90.69	$207.11	$292.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.83 / $242.73 / $472.21	Professional		$125.83	$242.73	$472.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.03 / $66.51 / $131.69	Professional	26	$44.03	$66.51	$131.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $80.13 / $175.00 / $335.18	Professional	TC	$80.13	$175.00	$335.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $93.54 / $135.30	Professional		$32.57	$93.54	$135.30
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $198.33 / $198.33 / $198.33	Facility	26	$198.33	$198.33	$198.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $197.30 / $230.24 / $371.84	Professional		$197.30	$230.24	$371.84
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $69.40 / $80.98 / $106.71	Professional	26	$69.40	$80.98	$106.71
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $127.90 / $149.25 / $267.33	Professional	TC	$127.90	$149.25	$267.33
United Facility/Professional Professional Modifier Low / Median / High Price $133.75 / $209.67 / $383.72	Professional		$133.75	$209.67	$383.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.32 / $51.25 / $102.25	Professional	26	$43.32	$51.25	$102.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.19 / $139.38 / $249.40	Professional	TC	$90.19	$139.38	$249.40