Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.00 / $147.19 / $655.74	Facility	26	$128.00	$147.19	$655.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.10 / $484.13 / $2,725.14	Professional		$352.10	$484.13	$2,725.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.85 / $173.09 / $464.63	Professional	26	$95.85	$173.09	$464.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $252.97 / $350.75 / $1,607.60	Professional	TC	$252.97	$350.75	$1,607.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.82 / $683.29 / $1,279.35	Professional		$328.82	$683.29	$1,279.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.20 / $128.71 / $227.09	Professional	26	$93.20	$128.71	$227.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $228.27 / $512.23 / $1,136.32	Professional	TC	$228.27	$512.23	$1,136.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.03 / $206.27 / $334.26	Professional		$80.03	$206.27	$334.26
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 $517.03 / $598.02 / $1,016.09	Professional		$517.03	$598.02	$1,016.09
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $152.69 / $178.18 / $243.84	Professional	26	$152.69	$178.18	$243.84
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $364.36 / $425.88 / $774.66	Professional	TC	$364.36	$425.88	$774.66
United Facility/Professional Professional Modifier Low / Median / High Price $337.75 / $539.30 / $815.55	Professional		$337.75	$539.30	$815.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.16 / $100.70 / $186.01	Professional	26	$93.16	$100.70	$186.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $242.65 / $460.48 / $723.75	Professional	TC	$242.65	$460.48	$723.75