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 $381.90 / $475.00 / $2,372.59	Professional		$381.90	$475.00	$2,372.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $115.48 / $156.80 / $389.04	Professional	26	$115.48	$156.80	$389.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $258.95 / $335.00 / $787.51	Professional	TC	$258.95	$335.00	$787.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.94 / $611.35 / $1,472.80	Professional		$353.94	$611.35	$1,472.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.22 / $158.09 / $323.76	Professional	26	$109.22	$158.09	$323.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $236.03 / $466.76 / $1,105.31	Professional	TC	$236.03	$466.76	$1,105.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.53 / $206.27 / $362.92	Professional		$107.53	$206.27	$362.92
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 $555.71 / $648.50 / $854.84	Professional		$555.71	$648.50	$854.84
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $178.96 / $208.84 / $275.39	Professional	26	$178.96	$208.84	$275.39
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $376.75 / $445.45 / $579.85	Professional	TC	$376.75	$445.45	$579.85
United Facility/Professional Professional Modifier Low / Median / High Price $362.59 / $516.95 / $851.04	Professional		$362.59	$516.95	$851.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $110.74 / $117.25 / $216.59	Professional	26	$110.74	$117.25	$216.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $251.85 / $404.89 / $591.13	Professional	TC	$251.85	$404.89	$591.13