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 / $285.25	Facility	26	$128.00	$128.00	$285.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.74 / $475.00 / $2,537.96	Professional		$191.74	$475.00	$2,537.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.02 / $154.00 / $487.77	Professional	26	$97.02	$154.00	$487.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $301.49 / $368.50 / $1,963.66	Professional	TC	$301.49	$368.50	$1,963.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.36 / $709.77 / $1,270.31	Professional		$374.36	$709.77	$1,270.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.37 / $126.18 / $221.21	Professional	26	$91.37	$126.18	$221.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $275.79 / $531.99 / $1,133.81	Professional	TC	$275.79	$531.99	$1,133.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $252.22 / $358.56	Professional		$80.09	$252.22	$358.56
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $669.98 / $669.98 / $669.98	Facility	26	$669.98	$669.98	$669.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $589.91 / $687.45 / $944.06	Professional		$589.91	$687.45	$944.06
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $149.71 / $174.71 / $230.86	Professional	26	$149.71	$174.71	$230.86
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $440.20 / $518.66 / $718.51	Professional	TC	$440.20	$518.66	$718.51
United Facility/Professional Professional Modifier Low / Median / High Price $389.59 / $598.10 / $1,046.66	Professional		$389.59	$598.10	$1,046.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $90.98 / $98.74 / $182.40	Professional	26	$90.98	$98.74	$182.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $296.33 / $462.05 / $830.77	Professional	TC	$296.33	$462.05	$830.77