Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $92.91 / $92.91 / $92.91	Facility	26	$92.91	$92.91	$92.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.64 / $316.33 / $1,439.59	Professional		$220.64	$316.33	$1,439.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.42 / $92.91 / $402.00	Professional	26	$77.42	$92.91	$402.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.63 / $223.43 / $317.55	Professional	TC	$141.63	$223.43	$317.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.29 / $328.47 / $574.91	Professional		$221.29	$328.47	$574.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.26 / $104.52 / $205.17	Professional	26	$73.26	$104.52	$205.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $143.57 / $218.70 / $373.07	Professional	TC	$143.57	$218.70	$373.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.95 / $119.94 / $226.42	Professional		$79.95	$119.94	$226.42
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 $347.00 / $404.95 / $573.46	Professional		$347.00	$404.95	$573.46
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $120.46 / $140.58 / $185.74	Professional	26	$120.46	$140.58	$185.74
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $226.55 / $264.37 / $387.72	Professional	TC	$226.55	$264.37	$387.72
United Facility/Professional Professional Modifier Low / Median / High Price $215.04 / $266.64 / $479.72	Professional		$215.04	$266.64	$479.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.34 / $83.64 / $148.06	Professional	26	$71.34	$83.64	$148.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $139.58 / $182.54 / $327.60	Professional	TC	$139.58	$182.54	$327.60