Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.72 / $38.72 / $38.72	Facility	26	$38.72	$38.72	$38.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.23 / $281.60 / $1,006.00	Professional		$171.23	$281.60	$1,006.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.61 / $62.67 / $171.00	Professional	26	$35.61	$62.67	$171.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $164.32 / $191.66 / $786.00	Professional	TC	$164.32	$191.66	$786.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.02 / $305.19 / $487.07	Professional		$220.02	$305.19	$487.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.52 / $47.25 / $70.09	Professional	26	$44.52	$47.25	$70.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $173.65 / $253.85 / $416.97	Professional	TC	$173.65	$253.85	$416.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $202.66 / $271.54	Professional		$32.57	$202.66	$271.54
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $230.90 / $230.90 / $230.90	Facility	26	$230.90	$230.90	$230.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $400.55 / $484.41 / $538.47	Professional		$400.55	$484.41	$538.47
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $55.52 / $68.31 / $75.73	Professional	26	$55.52	$68.31	$75.73
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $345.02 / $416.11 / $462.75	Professional	TC	$345.02	$416.11	$462.75
United Facility/Professional Professional Modifier Low / Median / High Price $234.44 / $348.58 / $467.45	Professional		$234.44	$348.58	$467.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.47 / $48.28 / $63.73	Professional	26	$40.47	$48.28	$63.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $191.46 / $294.36 / $403.72	Professional	TC	$191.46	$294.36	$403.72