Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.48 / $86.48 / $86.48	Facility	26	$86.48	$86.48	$86.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.50 / $568.85 / $2,745.00	Professional		$456.50	$568.85	$2,745.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.56 / $137.19 / $380.00	Professional	26	$79.56	$137.19	$380.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $379.18 / $482.37 / $2,382.79	Professional	TC	$379.18	$482.37	$2,382.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $502.93 / $633.34 / $811.28	Professional		$502.93	$633.34	$811.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.77 / $105.19 / $153.47	Professional	26	$97.77	$105.19	$153.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $405.15 / $525.36 / $657.80	Professional	TC	$405.15	$525.36	$657.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.77 / $307.90 / $452.85	Professional		$78.77	$307.90	$452.85
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $616.40 / $616.40 / $616.40	Facility	26	$616.40	$616.40	$616.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $665.75 / $906.40 / $1,015.15	Professional		$665.75	$906.40	$1,015.15
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $121.46 / $152.85 / $168.56	Professional	26	$121.46	$152.85	$168.56
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $544.29 / $753.57 / $846.58	Professional	TC	$544.29	$753.57	$846.58
United Facility/Professional Professional Modifier Low / Median / High Price $508.14 / $662.54 / $884.85	Professional		$508.14	$662.54	$884.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.17 / $106.47 / $140.53	Professional	26	$85.17	$106.47	$140.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $438.60 / $574.38 / $703.20	Professional	TC	$438.60	$574.38	$703.20