Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.73 / $67.73 / $67.73	Facility	26	$67.73	$67.73	$67.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.99 / $415.20 / $622.37	Professional		$189.99	$415.20	$622.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.43 / $67.73 / $132.90	Professional	26	$55.43	$67.73	$132.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $134.56 / $302.29 / $541.57	Professional	TC	$134.56	$302.29	$541.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.37 / $365.29 / $533.02	Professional		$189.37	$365.29	$533.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.04 / $71.06 / $124.57	Professional	26	$51.04	$71.06	$124.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $133.85 / $280.93 / $453.07	Professional	TC	$133.85	$280.93	$453.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $133.39 / $200.77	Professional		$32.57	$133.39	$200.77
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 $297.93 / $347.68 / $572.04	Professional		$297.93	$347.68	$572.04
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $84.28 / $98.35 / $128.41	Professional	26	$84.28	$98.35	$128.41
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $213.65 / $249.33 / $446.59	Professional	TC	$213.65	$249.33	$446.59
United Facility/Professional Professional Modifier Low / Median / High Price $201.24 / $281.10 / $472.32	Professional		$201.24	$281.10	$472.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.93 / $58.48 / $103.19	Professional	26	$50.93	$58.48	$103.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $148.47 / $231.06 / $351.49	Professional	TC	$148.47	$231.06	$351.49