Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.37 / $64.37 / $64.37	Facility	26	$64.37	$64.37	$64.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.53 / $207.22 / $459.99	Professional		$94.53	$207.22	$459.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.51 / $84.17 / $277.00	Professional	26	$51.51	$84.17	$277.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $261.87 / $795.03	Professional	TC	$119.70	$261.87	$795.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.90 / $295.31 / $434.61	Professional		$161.90	$295.31	$434.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.90 / $68.09 / $119.39	Professional	26	$48.90	$68.09	$119.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $108.70 / $220.89 / $345.26	Professional	TC	$108.70	$220.89	$345.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $100.92 / $167.13	Professional		$32.57	$100.92	$167.13
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $324.95 / $324.95 / $324.95	Facility	26	$324.95	$324.95	$324.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $254.30 / $296.77 / $459.34	Professional		$254.30	$296.77	$459.34
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $80.80 / $94.30 / $124.03	Professional	26	$80.80	$94.30	$124.03
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $173.50 / $202.48 / $339.07	Professional	TC	$173.50	$202.48	$339.07
United Facility/Professional Professional Modifier Low / Median / High Price $167.19 / $257.89 / $400.00	Professional		$167.19	$257.89	$400.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.33 / $53.27 / $100.62	Professional	26	$48.33	$53.27	$100.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $116.88 / $179.94 / $274.32	Professional	TC	$116.88	$179.94	$274.32