Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $105.79 / $105.79 / $473.44	Facility	26	$105.79	$105.79	$473.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.87 / $467.39 / $1,565.46	Professional		$244.87	$467.39	$1,565.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.19 / $116.99 / $208.59	Professional	26	$81.19	$116.99	$208.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.96 / $361.60 / $509.85	Professional	TC	$162.96	$361.60	$509.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.75 / $514.90 / $722.69	Professional		$293.75	$514.90	$722.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.75 / $106.16 / $186.10	Professional	26	$76.75	$106.16	$186.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $208.32 / $411.03 / $598.10	Professional	TC	$208.32	$411.03	$598.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $147.66 / $258.77	Professional		$80.09	$147.66	$258.77
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 $466.47 / $535.42 / $750.55	Professional		$466.47	$535.42	$750.55
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $125.91 / $146.94 / $195.71	Professional	26	$125.91	$146.94	$195.71
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $340.56 / $393.46 / $554.80	Professional	TC	$340.56	$393.46	$554.80
United Facility/Professional Professional Modifier Low / Median / High Price $279.16 / $412.69 / $655.21	Professional		$279.16	$412.69	$655.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $78.70 / $87.38 / $157.68	Professional	26	$78.70	$87.38	$157.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $200.32 / $336.48 / $470.17	Professional	TC	$200.32	$336.48	$470.17