Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.94 / $62.94 / $62.94	Facility	26	$62.94	$62.94	$62.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.04 / $253.11 / $429.23	Professional		$179.04	$253.11	$429.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.52 / $62.94 / $315.64	Professional	26	$43.52	$62.94	$315.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $135.52 / $190.18 / $318.20	Professional	TC	$135.52	$190.18	$318.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $290.31 / $587.91	Professional		$195.00	$290.31	$587.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.76 / $69.54 / $135.66	Professional	26	$46.76	$69.54	$135.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $144.41 / $219.29 / $440.49	Professional	TC	$144.41	$219.29	$440.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $150.89 / $202.48	Professional		$32.57	$150.89	$202.48
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $418.84 / $418.84 / $418.84	Facility	26	$418.84	$418.84	$418.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $307.35 / $358.67 / $478.11	Professional		$307.35	$358.67	$478.11
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $76.83 / $89.67 / $118.89	Professional	26	$76.83	$89.67	$118.89
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $230.51 / $269.39 / $359.24	Professional	TC	$230.51	$269.39	$359.24
United Facility/Professional Professional Modifier Low / Median / High Price $192.69 / $293.04 / $392.41	Professional		$192.69	$293.04	$392.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.72 / $57.02 / $94.80	Professional	26	$45.72	$57.02	$94.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $146.90 / $168.64 / $330.21	Professional	TC	$146.90	$168.64	$330.21