Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.39 / $38.39 / $171.90	Facility	26	$38.39	$38.39	$171.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.74 / $133.60 / $709.00	Professional		$117.74	$133.60	$709.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.90 / $42.92 / $98.88	Professional	26	$32.90	$42.92	$98.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.23 / $94.47 / $224.83	Professional	TC	$79.23	$94.47	$224.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.77 / $164.28 / $281.75	Professional		$119.77	$164.28	$281.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.59 / $47.56 / $79.34	Professional	26	$37.59	$47.56	$79.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $82.44 / $115.68 / $192.57	Professional	TC	$82.44	$115.68	$192.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $92.34 / $133.49	Professional		$32.34	$92.34	$133.49
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $324.95 / $324.95 / $324.95	Facility	26	$324.95	$324.95	$324.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $206.71 / $241.23 / $275.23	Professional		$206.71	$241.23	$275.23
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $62.46 / $71.04 / $78.25	Professional	26	$62.46	$71.04	$78.25
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $144.25 / $170.80 / $198.37	Professional	TC	$144.25	$170.80	$198.37
United Facility/Professional Professional Modifier Low / Median / High Price $124.93 / $140.75 / $232.24	Professional		$124.93	$140.75	$232.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.31 / $46.19 / $76.22	Professional	26	$34.31	$46.19	$76.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $85.10 / $94.56 / $157.21	Professional	TC	$85.10	$94.56	$157.21