Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.37 / $70.37 / $398.76	Facility	26	$70.37	$70.37	$398.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.51 / $360.53 / $1,201.00	Professional		$246.51	$360.53	$1,201.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.00 / $92.86 / $238.00	Professional	26	$58.00	$92.86	$238.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.66 / $290.16 / $472.29	Professional	TC	$162.66	$290.16	$472.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.51 / $327.74 / $506.73	Professional		$222.51	$327.74	$506.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.68 / $74.77 / $131.09	Professional	26	$53.68	$74.77	$131.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $162.34 / $258.77 / $390.27	Professional	TC	$162.34	$258.77	$390.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $160.32 / $230.95	Professional		$32.57	$160.32	$230.95
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $324.95 / $324.95 / $324.95	Facility	26	$324.95	$324.95	$324.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $355.92 / $414.70 / $466.79	Professional		$355.92	$414.70	$466.79
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $88.73 / $103.55 / $135.91	Professional	26	$88.73	$103.55	$135.91
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $267.19 / $307.70 / $349.00	Professional	TC	$267.19	$307.70	$349.00
United Facility/Professional Professional Modifier Low / Median / High Price $213.50 / $285.05 / $501.12	Professional		$213.50	$285.05	$501.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.62 / $61.54 / $108.60	Professional	26	$53.62	$61.54	$108.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $157.97 / $223.03 / $370.80	Professional	TC	$157.97	$223.03	$370.80