Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.45 / $73.45 / $73.45	Facility	26	$73.45	$73.45	$73.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.47 / $272.08 / $333.15	Professional		$144.47	$272.08	$333.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.11 / $76.22 / $283.26	Professional	26	$59.11	$76.22	$283.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.15 / $186.96 / $254.24	Professional	TC	$62.15	$186.96	$254.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.03 / $282.02 / $535.09	Professional		$189.03	$282.02	$535.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.50 / $94.12 / $173.60	Professional	26	$72.50	$94.12	$173.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $80.73 / $158.69 / $448.01	Professional	TC	$80.73	$158.69	$448.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.30 / $94.06 / $166.06	Professional		$51.30	$94.06	$166.06
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 $241.91 / $303.05 / $408.97	Professional		$241.91	$303.05	$408.97
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $131.66 / $139.96 / $169.53	Professional	26	$131.66	$139.96	$169.53
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $107.07 / $133.51 / $277.13	Professional	TC	$107.07	$133.51	$277.13
United Facility/Professional Professional Modifier Low / Median / High Price $178.28 / $245.75 / $405.63	Professional		$178.28	$245.75	$405.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.33 / $97.80 / $161.37	Professional	26	$64.33	$97.80	$161.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $80.48 / $129.81 / $299.45	Professional	TC	$80.48	$129.81	$299.45