Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.00 / $379.27 / $423.60	Facility	26	$128.00	$379.27	$423.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.99 / $475.00 / $1,432.40	Professional		$214.99	$475.00	$1,432.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.02 / $128.00 / $322.00	Professional	26	$65.02	$128.00	$322.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $159.12 / $305.00 / $865.83	Professional	TC	$159.12	$305.00	$865.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.83 / $434.02 / $685.05	Professional		$190.83	$434.02	$685.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.59 / $85.65 / $150.16	Professional	26	$61.59	$85.65	$150.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $123.92 / $337.09 / $588.99	Professional	TC	$123.92	$337.09	$588.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.98 / $114.79 / $167.13	Professional		$52.98	$114.79	$167.13
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 $299.41 / $349.41 / $665.37	Professional		$299.41	$349.41	$665.37
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $101.62 / $118.59 / $155.50	Professional	26	$101.62	$118.59	$155.50
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $197.79 / $230.82 / $509.85	Professional	TC	$197.79	$230.82	$509.85
United Facility/Professional Professional Modifier Low / Median / High Price $194.49 / $343.22 / $650.00	Professional		$194.49	$343.22	$650.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.81 / $75.06 / $124.81	Professional	26	$61.81	$75.06	$124.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $130.68 / $230.61 / $427.49	Professional	TC	$130.68	$230.61	$427.49