Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.15 / $252.15 / $2,610.00	Facility		$252.15	$252.15	$2,610.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.44 / $62.44 / $62.44	Facility	26	$62.44	$62.44	$62.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.81 / $211.53 / $307.29	Professional		$76.81	$211.53	$307.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.86 / $73.51 / $235.09	Professional	26	$48.86	$73.51	$235.09
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $63.25 / $126.08 / $464.91	Professional	52	$63.25	$126.08	$464.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.14 / $184.12 / $221.33	Professional	TC	$60.14	$184.12	$221.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.44 / $4,040.27 / $12,790.68	Facility		$91.44	$4,040.27	$12,790.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.21 / $246.97 / $567.64	Professional		$172.21	$246.97	$567.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.97 / $81.83 / $153.06	Professional	26	$61.97	$81.83	$153.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $76.20 / $141.60 / $431.11	Professional	TC	$76.20	$141.60	$431.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.68 / $77.24 / $143.55	Professional		$49.68	$77.24	$143.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,735.70 / $6,134.76 / $9,094.75	Facility		$4,735.70	$6,134.76	$9,094.75
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $5,208.22 / $5,208.22 / $5,208.22	Facility	26	$5,208.22	$5,208.22	$5,208.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $223.07 / $280.69 / $341.22	Professional		$223.07	$280.69	$341.22
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $111.75 / $120.46 / $151.52	Professional	26	$111.75	$120.46	$151.52
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $102.62 / $129.16 / $229.46	Professional	TC	$102.62	$129.16	$229.46
United Facility/Professional Professional Modifier Low / Median / High Price $164.37 / $182.36 / $344.39	Professional		$164.37	$182.36	$344.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.09 / $88.42 / $145.88	Professional	26	$56.09	$88.42	$145.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $78.67 / $118.01 / $272.50	Professional	TC	$78.67	$118.01	$272.50