Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.29 / $472.82 / $571.47	Facility	26	$48.29	$472.82	$571.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.12 / $366.71 / $1,536.00	Professional		$294.12	$366.71	$1,536.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.70 / $99.11 / $327.32	Professional	26	$77.70	$99.11	$327.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $219.38 / $284.50 / $1,167.00	Professional	TC	$219.38	$284.50	$1,167.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.12 / $407.47 / $660.01	Professional		$294.12	$407.47	$660.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.30 / $110.82 / $186.80	Professional	26	$77.30	$110.82	$186.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $210.88 / $285.02 / $473.21	Professional	TC	$210.88	$285.02	$473.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.03 / $202.66 / $291.11	Professional		$80.03	$202.66	$291.11
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $669.98 / $669.98 / $669.98	Facility	26	$669.98	$669.98	$669.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $463.01 / $538.22 / $630.84	Professional		$463.01	$538.22	$630.84
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $126.41 / $147.52 / $196.38	Professional	26	$126.41	$147.52	$196.38
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $336.59 / $392.80 / $443.21	Professional	TC	$336.59	$392.80	$443.21
United Facility/Professional Professional Modifier Low / Median / High Price $282.52 / $322.42 / $590.47	Professional		$282.52	$322.42	$590.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.38 / $93.47 / $154.22	Professional	26	$75.38	$93.47	$154.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $203.08 / $231.93 / $466.20	Professional	TC	$203.08	$231.93	$466.20