Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.53 / $77.53 / $406.21	Facility	26	$77.53	$77.53	$406.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.71 / $434.42 / $1,387.00	Professional		$252.71	$434.42	$1,387.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.80 / $100.42 / $191.61	Professional	26	$63.80	$100.42	$191.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.65 / $356.89 / $1,025.66	Professional	TC	$162.65	$356.89	$1,025.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.30 / $430.10 / $607.21	Professional		$252.30	$430.10	$607.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.94 / $81.90 / $143.59	Professional	26	$58.94	$81.90	$143.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $186.14 / $353.77 / $515.33	Professional	TC	$186.14	$353.77	$515.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.14 / $147.33 / $226.42	Professional		$53.14	$147.33	$226.42
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 $400.05 / $464.45 / $538.73	Professional		$400.05	$464.45	$538.73
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $97.16 / $113.39 / $149.54	Professional	26	$97.16	$113.39	$149.54
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $302.89 / $353.46 / $394.52	Professional	TC	$302.89	$353.46	$394.52
United Facility/Professional Professional Modifier Low / Median / High Price $240.81 / $356.44 / $565.19	Professional		$240.81	$356.44	$565.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.16 / $61.74 / $119.40	Professional	26	$58.16	$61.74	$119.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $179.76 / $279.31 / $421.91	Professional	TC	$179.76	$279.31	$421.91