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 $346.44 / $475.00 / $2,245.57	Professional		$346.44	$475.00	$2,245.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.57 / $128.00 / $269.89	Professional	26	$85.57	$128.00	$269.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $260.87 / $305.00 / $792.41	Professional	TC	$260.87	$305.00	$792.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.80 / $586.48 / $812.74	Professional		$325.80	$586.48	$812.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.19 / $105.36 / $184.71	Professional	26	$76.19	$105.36	$184.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $243.48 / $469.68 / $658.20	Professional	TC	$243.48	$469.68	$658.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.16 / $254.70 / $374.70	Professional		$94.16	$254.70	$374.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $513.57 / $599.33 / $816.19	Professional		$513.57	$599.33	$816.19
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $124.92 / $145.78 / $193.38	Professional	26	$124.92	$145.78	$193.38
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $388.65 / $453.54 / $629.91	Professional	TC	$388.65	$453.54	$629.91
United Facility/Professional Professional Modifier Low / Median / High Price $333.75 / $472.47 / $783.35	Professional		$333.75	$472.47	$783.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.48 / $82.83 / $154.58	Professional	26	$75.48	$82.83	$154.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $255.52 / $316.52 / $599.75	Professional	TC	$255.52	$316.52	$599.75