Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.00 / $128.00 / $128.00	Facility	26	$128.00	$128.00	$128.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.11 / $475.00 / $1,456.51	Professional		$202.11	$475.00	$1,456.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.95 / $128.00 / $199.09	Professional	26	$67.95	$128.00	$199.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $134.16 / $305.00 / $430.04	Professional	TC	$134.16	$305.00	$430.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.48 / $315.42 / $639.37	Professional		$212.48	$315.42	$639.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.50 / $100.42 / $195.56	Professional	26	$67.50	$100.42	$195.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $140.07 / $212.82 / $427.48	Professional	TC	$140.07	$212.82	$427.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.03 / $119.94 / $228.26	Professional		$80.03	$119.94	$228.26
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 $334.61 / $390.49 / $520.30	Professional		$334.61	$390.49	$520.30
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $111.04 / $129.58 / $171.69	Professional	26	$111.04	$129.58	$171.69
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $223.57 / $260.89 / $348.63	Professional	TC	$223.57	$260.89	$348.63
United Facility/Professional Professional Modifier Low / Median / High Price $217.18 / $383.27 / $769.17	Professional		$217.18	$383.27	$769.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.42 / $77.18 / $137.47	Professional	26	$67.42	$77.18	$137.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.55 / $286.42 / $763.70	Professional	TC	$147.55	$286.42	$763.70