Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.91 / $138.54 / $148.93	Facility	26	$54.91	$138.54	$148.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.16 / $182.14 / $898.00	Professional		$139.16	$182.14	$898.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.57 / $54.91 / $115.16	Professional	26	$39.57	$54.91	$115.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $96.58 / $126.14 / $314.82	Professional	TC	$96.58	$126.14	$314.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.66 / $222.43 / $327.72	Professional		$175.66	$222.43	$327.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.63 / $65.81 / $99.82	Professional	26	$53.63	$65.81	$99.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $122.03 / $153.53 / $228.32	Professional	TC	$122.03	$153.53	$228.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $100.04 / $164.96	Professional		$32.34	$100.04	$164.96
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $212.74 / $212.74 / $212.74	Facility	26	$212.74	$212.74	$212.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $235.96 / $285.24 / $343.43	Professional		$235.96	$285.24	$343.43
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $69.40 / $86.50 / $104.15	Professional	26	$69.40	$86.50	$104.15
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $166.56 / $198.74 / $239.26	Professional	TC	$166.56	$198.74	$239.26
United Facility/Professional Professional Modifier Low / Median / High Price $171.79 / $188.97 / $289.00	Professional		$171.79	$188.97	$289.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.25 / $56.38 / $85.21	Professional	26	$51.25	$56.38	$85.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $120.54 / $134.22 / $200.01	Professional	TC	$120.54	$134.22	$200.01