Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $133.52 / $133.52 / $133.52	Facility	26	$133.52	$133.52	$133.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.77 / $494.80 / $1,721.41	Professional		$269.77	$494.80	$1,721.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $105.99 / $133.52 / $565.00	Professional	26	$105.99	$133.52	$565.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.65 / $361.28 / $509.40	Professional	TC	$162.65	$361.28	$509.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.85 / $578.32 / $892.88	Professional		$397.85	$578.32	$892.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.22 / $138.82 / $243.36	Professional	26	$100.22	$138.82	$243.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $289.45 / $446.29 / $720.65	Professional	TC	$289.45	$446.29	$720.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $147.66 / $263.94	Professional		$80.09	$147.66	$263.94
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 $626.59 / $712.60 / $813.37	Professional		$626.59	$712.60	$813.37
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $164.58 / $192.06 / $255.93	Professional	26	$164.58	$192.06	$255.93
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $462.02 / $510.22 / $592.20	Professional	TC	$462.02	$510.22	$592.20
United Facility/Professional Professional Modifier Low / Median / High Price $383.15 / $462.37 / $829.81	Professional		$383.15	$462.37	$829.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.31 / $120.90 / $201.00	Professional	26	$102.31	$120.90	$201.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $280.38 / $347.32 / $636.54	Professional	TC	$280.38	$347.32	$636.54