Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.80 / $128.80 / $128.80	Facility	26	$128.80	$128.80	$128.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.05 / $335.51 / $1,327.52	Professional		$208.05	$335.51	$1,327.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $108.66 / $128.80 / $253.59	Professional	26	$108.66	$128.80	$253.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $99.39 / $206.71 / $223.43	Professional	TC	$99.39	$206.71	$223.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.63 / $508.73 / $952.91	Professional		$401.63	$508.73	$952.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $101.88 / $135.63 / $246.15	Professional	26	$101.88	$135.63	$246.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $291.94 / $366.95 / $717.02	Professional	TC	$291.94	$366.95	$717.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.66 / $97.16 / $196.99	Professional		$70.66	$97.16	$196.99
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $198.33 / $198.33 / $198.33	Facility	26	$198.33	$198.33	$198.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $632.54 / $739.42 / $976.33	Professional		$632.54	$739.42	$976.33
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $166.56 / $194.38 / $259.62	Professional	26	$166.56	$194.38	$259.62
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $465.98 / $551.08 / $716.71	Professional	TC	$465.98	$551.08	$716.71
United Facility/Professional Professional Modifier Low / Median / High Price $382.28 / $460.79 / $806.39	Professional		$382.28	$460.79	$806.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $97.50 / $104.30 / $202.46	Professional	26	$97.50	$104.30	$202.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $281.61 / $362.34 / $602.40	Professional	TC	$281.61	$362.34	$602.40