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 / $391.70	Facility	26	$128.00	$128.00	$391.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.58 / $475.00 / $1,828.29	Professional		$195.58	$475.00	$1,828.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $140.00 / $348.00	Professional	26	$62.50	$140.00	$348.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $712.50 / $712.50 / $712.50	Professional	50	$712.50	$712.50	$712.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $335.00 / $596.05	Professional	TC	$187.50	$335.00	$596.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.99 / $476.85 / $720.78	Professional		$216.99	$476.85	$720.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.99 / $78.98 / $138.46	Professional	26	$56.99	$78.98	$138.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $155.28 / $386.46 / $632.51	Professional	TC	$155.28	$386.46	$632.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $150.89 / $202.90	Professional		$32.57	$150.89	$202.90
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $418.84 / $418.84 / $418.84	Facility	26	$418.84	$418.84	$418.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $341.55 / $398.59 / $727.98	Professional		$341.55	$398.59	$727.98
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $93.69 / $109.34 / $143.43	Professional	26	$93.69	$109.34	$143.43
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $247.86 / $289.25 / $584.55	Professional	TC	$247.86	$289.25	$584.55
United Facility/Professional Professional Modifier Low / Median / High Price $222.40 / $392.48 / $637.50	Professional		$222.40	$392.48	$637.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.62 / $64.59 / $117.19	Professional	26	$56.62	$64.59	$117.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $163.81 / $310.86 / $459.24	Professional	TC	$163.81	$310.86	$459.24