Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.26 / $127.92 / $127.92	Facility	26	$117.26	$127.92	$127.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.39 / $395.79 / $1,678.41	Professional		$270.39	$395.79	$1,678.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.29 / $134.80 / $523.97	Professional	26	$107.29	$134.80	$523.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.63 / $274.20 / $386.62	Professional	TC	$162.63	$274.20	$386.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.80 / $588.16 / $811.13	Professional		$312.80	$588.16	$811.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $101.07 / $142.46 / $279.98	Professional	26	$101.07	$142.46	$279.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $215.08 / $419.31 / $632.19	Professional	TC	$215.08	$419.31	$632.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $176.80 / $296.94	Professional		$80.09	$176.80	$296.94
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 $490.76 / $572.71 / $842.03	Professional		$490.76	$572.71	$842.03
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $165.57 / $193.22 / $252.55	Professional	26	$165.57	$193.22	$252.55
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $325.19 / $379.50 / $589.48	Professional	TC	$325.19	$379.50	$589.48
United Facility/Professional Professional Modifier Low / Median / High Price $310.75 / $394.63 / $766.31	Professional		$310.75	$394.63	$766.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $98.19 / $108.81 / $199.49	Professional	26	$98.19	$108.81	$199.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $207.98 / $280.70 / $578.66	Professional	TC	$207.98	$280.70	$578.66