Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $108.88 / $108.88 / $583.20	Facility	26	$108.88	$108.88	$583.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.42 / $463.60 / $1,847.00	Professional		$356.42	$463.60	$1,847.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.82 / $113.89 / $351.13	Professional	26	$88.82	$113.89	$351.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $263.23 / $354.71 / $1,372.00	Professional	TC	$263.23	$354.71	$1,372.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.95 / $463.94 / $740.41	Professional		$329.95	$463.94	$740.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.86 / $122.73 / $205.87	Professional	26	$84.86	$122.73	$205.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $238.21 / $351.97 / $540.54	Professional	TC	$238.21	$351.97	$540.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.03 / $206.27 / $319.92	Professional		$80.03	$206.27	$319.92
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 $519.52 / $602.50 / $733.61	Professional		$519.52	$602.50	$733.61
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $139.29 / $162.56 / $215.77	Professional	26	$139.29	$162.56	$215.77
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $380.21 / $443.71 / $526.41	Professional	TC	$380.21	$443.71	$526.41
United Facility/Professional Professional Modifier Low / Median / High Price $317.50 / $386.24 / $745.20	Professional		$317.50	$386.24	$745.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.46 / $96.56 / $170.39	Professional	26	$83.46	$96.56	$170.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $230.38 / $299.82 / $540.73	Professional	TC	$230.38	$299.82	$540.73