Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.50 / $86.50 / $86.50	Facility	26	$86.50	$86.50	$86.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.63 / $189.17 / $880.00	Professional		$152.63	$189.17	$880.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.33 / $83.68 / $179.81	Professional	26	$67.33	$83.68	$179.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.12 / $228.67 / $334.26	Professional		$172.12	$228.67	$334.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.89 / $105.53 / $165.25	Professional	26	$78.89	$105.53	$165.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.77 / $97.97 / $194.07	Professional		$72.77	$97.97	$194.07
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 $261.24 / $304.87 / $347.06	Professional		$261.24	$304.87	$347.06
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $112.03 / $139.50 / $167.12	Professional	26	$112.03	$139.50	$167.12
United Facility/Professional Professional Modifier Low / Median / High Price $170.07 / $179.06 / $295.35	Professional		$170.07	$179.06	$295.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $78.15 / $80.12 / $129.24	Professional	26	$78.15	$80.12	$129.24