Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $105.75 / $105.75 / $105.75	Facility	26	$105.75	$105.75	$105.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $392.31 / $658.45	Professional		$171.00	$392.31	$658.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.85 / $106.70 / $417.23	Professional	26	$84.85	$106.70	$417.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.63 / $361.24 / $509.34	Professional	TC	$162.63	$361.24	$509.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.93 / $506.58 / $723.44	Professional		$312.93	$506.58	$723.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.79 / $110.36 / $193.47	Professional	26	$79.79	$110.36	$193.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $226.71 / $402.39 / $573.03	Professional	TC	$226.71	$402.39	$573.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $147.66 / $261.07	Professional		$80.09	$147.66	$261.07
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 $492.75 / $565.61 / $724.14	Professional		$492.75	$565.61	$724.14
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $130.87 / $152.72 / $201.39	Professional	26	$130.87	$152.72	$201.39
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $361.87 / $418.06 / $529.13	Professional	TC	$361.87	$418.06	$529.13
United Facility/Professional Professional Modifier Low / Median / High Price $306.77 / $407.79 / $720.00	Professional		$306.77	$407.79	$720.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.09 / $91.20 / $159.61	Professional	26	$79.09	$91.20	$159.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $225.17 / $317.88 / $528.48	Professional	TC	$225.17	$317.88	$528.48