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 $348.34 / $522.50 / $2,252.02	Professional		$348.34	$522.50	$2,252.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.76 / $141.22 / $394.25	Professional	26	$82.76	$141.22	$394.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $263.14 / $354.56 / $799.33	Professional	TC	$263.14	$354.56	$799.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.69 / $583.52 / $817.48	Professional		$326.69	$583.52	$817.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.56 / $104.51 / $183.22	Professional	26	$75.56	$104.51	$183.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $245.04 / $472.68 / $657.22	Professional	TC	$245.04	$472.68	$657.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.16 / $256.52 / $374.70	Professional		$94.16	$256.52	$374.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $515.04 / $592.99 / $816.07	Professional		$515.04	$592.99	$816.07
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $123.93 / $144.63 / $191.86	Professional	26	$123.93	$144.63	$191.86
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $391.12 / $456.44 / $631.27	Professional	TC	$391.12	$456.44	$631.27
United Facility/Professional Professional Modifier Low / Median / High Price $334.68 / $470.46 / $785.53	Professional		$334.68	$470.46	$785.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.90 / $86.02 / $154.58	Professional	26	$74.90	$86.02	$154.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $257.07 / $369.17 / $603.36	Professional	TC	$257.07	$369.17	$603.36