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 $317.62 / $475.00 / $2,053.60	Professional		$317.62	$475.00	$2,053.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.56 / $156.80 / $543.84	Professional	26	$97.56	$156.80	$543.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $220.06 / $305.00 / $502.80	Professional	TC	$220.06	$305.00	$502.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $332.73 / $497.82 / $1,009.52	Professional		$332.73	$497.82	$1,009.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.67 / $143.63 / $279.51	Professional	26	$97.67	$143.63	$279.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $227.96 / $351.06 / $705.00	Professional	TC	$227.96	$351.06	$705.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.03 / $206.27 / $323.46	Professional		$80.03	$206.27	$323.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $523.98 / $605.84 / $820.55	Professional		$523.98	$605.84	$820.55
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $160.12 / $186.86 / $245.56	Professional	26	$160.12	$186.86	$245.56
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $363.86 / $425.32 / $574.97	Professional	TC	$363.86	$425.32	$574.97
United Facility/Professional Professional Modifier Low / Median / High Price $343.26 / $600.00 / $962.33	Professional		$343.26	$600.00	$962.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.18 / $100.00 / $194.13	Professional	26	$72.18	$100.00	$194.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $243.26 / $461.63 / $1,134.68	Professional	TC	$243.26	$461.63	$1,134.68