Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.11 / $211.57 / $414.83	Facility	26	$54.11	$211.57	$414.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.55 / $200.00 / $609.00	Professional		$130.55	$200.00	$609.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.60 / $97.14 / $213.00	Professional	26	$42.60	$97.14	$213.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.81 / $109.52 / $414.00	Professional	TC	$83.81	$109.52	$414.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.65 / $188.80 / $277.41	Professional		$143.65	$188.80	$277.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.58 / $68.68 / $98.03	Professional	26	$50.58	$68.68	$98.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $91.81 / $120.02 / $177.32	Professional	TC	$91.81	$120.02	$177.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $92.38 / $130.91	Professional		$32.34	$92.38	$130.91
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $198.33 / $198.33 / $198.33	Facility	26	$198.33	$198.33	$198.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $201.76 / $251.51 / $291.77	Professional		$201.76	$251.51	$291.77
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $69.40 / $88.15 / $110.23	Professional	26	$69.40	$88.15	$110.23
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $132.35 / $163.40 / $187.07	Professional	TC	$132.35	$163.40	$187.07
United Facility/Professional Professional Modifier Low / Median / High Price $142.55 / $145.35 / $235.21	Professional		$142.55	$145.35	$235.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.35 / $50.89 / $82.09	Professional	26	$48.35	$50.89	$82.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.66 / $97.80 / $167.58	Professional	TC	$91.66	$97.80	$167.58