Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.00 / $364.37 / $391.70	Facility	26	$128.00	$364.37	$391.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.50 / $352.81 / $1,190.00	Professional		$98.50	$352.81	$1,190.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.93 / $140.00 / $360.00	Professional	26	$61.93	$140.00	$360.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $475.00 / $475.00 / $475.00	Professional	50	$475.00	$475.00	$475.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $104.19 / $237.50 / $319.91	Professional	52	$104.19	$237.50	$319.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $150.80 / $335.00 / $942.38	Professional	TC	$150.80	$335.00	$942.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.11 / $392.50 / $710.95	Professional		$197.11	$392.50	$710.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.27 / $79.77 / $139.85	Professional	26	$57.27	$79.77	$139.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.79 / $281.23 / $622.67	Professional	TC	$134.79	$281.23	$622.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.98 / $117.48 / $194.69	Professional		$52.98	$117.48	$194.69
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 $309.83 / $361.56 / $496.13	Professional		$309.83	$361.56	$496.13
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $94.68 / $110.49 / $145.03	Professional	26	$94.68	$110.49	$145.03
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $215.15 / $251.07 / $353.92	Professional	TC	$215.15	$251.07	$353.92
United Facility/Professional Professional Modifier Low / Median / High Price $197.56 / $348.63 / $637.50	Professional		$197.56	$348.63	$637.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.23 / $64.61 / $117.79	Professional	26	$57.23	$64.61	$117.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.66 / $223.16 / $446.68	Professional	TC	$138.66	$223.16	$446.68