Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.82 / $504.87 / $546.36	Facility	26	$93.82	$504.87	$546.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.40 / $234.56 / $951.00	Professional		$184.40	$234.56	$951.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.21 / $93.81 / $302.64	Professional	26	$60.21	$93.81	$302.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $99.08 / $141.93 / $616.00	Professional	TC	$99.08	$141.93	$616.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.72 / $262.33 / $412.80	Professional		$178.72	$262.33	$412.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.48 / $105.73 / $178.74	Professional	26	$73.48	$105.73	$178.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $99.07 / $145.59 / $250.44	Professional	TC	$99.07	$145.59	$250.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.61 / $97.97 / $196.99	Professional		$71.61	$97.97	$196.99
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $418.84 / $418.84 / $418.84	Facility	26	$418.84	$418.84	$418.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $279.08 / $325.70 / $425.44	Professional		$279.08	$325.70	$425.44
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $120.96 / $141.15 / $187.29	Professional	26	$120.96	$141.15	$187.29
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $158.13 / $184.54 / $245.70	Professional	TC	$158.13	$184.54	$245.70
United Facility/Professional Professional Modifier Low / Median / High Price $172.70 / $203.18 / $400.00	Professional		$172.70	$203.18	$400.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.91 / $83.39 / $151.54	Professional	26	$71.91	$83.39	$151.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $96.93 / $118.94 / $227.51	Professional	TC	$96.93	$118.94	$227.51