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 / $128.00	Facility	26	$128.00	$128.00	$128.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.74 / $475.00 / $2,073.69	Professional		$191.74	$475.00	$2,073.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.00 / $154.00 / $391.16	Professional	26	$73.00	$154.00	$391.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $249.53 / $335.00 / $758.82	Professional	TC	$249.53	$335.00	$758.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.24 / $531.45 / $800.54	Professional		$304.24	$531.45	$800.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.67 / $95.25 / $166.99	Professional	26	$68.67	$95.25	$166.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $229.82 / $442.29 / $694.11	Professional	TC	$229.82	$442.29	$694.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.03 / $206.27 / $325.26	Professional		$80.03	$206.27	$325.26
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,301.63 / $1,301.63 / $1,301.63	Facility	26	$1,301.63	$1,301.63	$1,301.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $479.85 / $559.99 / $765.77	Professional		$479.85	$559.99	$765.77
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $113.02 / $131.90 / $175.31	Professional	26	$113.02	$131.90	$175.31
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $366.83 / $429.24 / $596.75	Professional	TC	$366.83	$429.24	$596.75
United Facility/Professional Professional Modifier Low / Median / High Price $316.27 / $456.03 / $966.43	Professional		$316.27	$456.03	$966.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.98 / $75.36 / $142.34	Professional	26	$67.98	$75.36	$142.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $245.10 / $370.03 / $575.27	Professional	TC	$245.10	$370.03	$575.27