Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.00 / $128.00 / $128.00	Facility	26	$128.00	$128.00	$128.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.44 / $475.00 / $1,989.34	Professional		$314.44	$475.00	$1,989.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.09 / $128.00 / $260.74	Professional	26	$80.09	$128.00	$260.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $231.66 / $335.00 / $704.40	Professional	TC	$231.66	$335.00	$704.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.61 / $607.73 / $881.78	Professional		$293.61	$607.73	$881.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.89 / $101.13 / $177.29	Professional	26	$72.89	$101.13	$177.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $214.60 / $481.57 / $768.13	Professional	TC	$214.60	$481.57	$768.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.03 / $202.71 / $300.62	Professional		$80.03	$202.71	$300.62
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 $462.51 / $539.74 / $908.84	Professional		$462.51	$539.74	$908.84
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $119.96 / $140.00 / $185.80	Professional	26	$119.96	$140.00	$185.80
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $342.54 / $399.74 / $723.02	Professional	TC	$342.54	$399.74	$723.02
United Facility/Professional Professional Modifier Low / Median / High Price $303.70 / $497.05 / $712.81	Professional		$303.70	$497.05	$712.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.50 / $75.65 / $154.34	Professional	26	$72.50	$75.65	$154.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $228.23 / $377.97 / $668.83	Professional	TC	$228.23	$377.97	$668.83