Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.30 / $114.30 / $114.30	Facility	26	$114.30	$114.30	$114.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.10 / $458.97 / $1,048.63	Professional		$417.10	$458.97	$1,048.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $167.46 / $419.20	Professional	26	$100.00	$167.46	$419.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $312.32 / $338.20 / $2,031.95	Professional	TC	$312.32	$338.20	$2,031.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.11 / $566.45 / $742.47	Professional		$461.11	$566.45	$742.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $124.99 / $142.80 / $196.11	Professional	26	$124.99	$142.80	$196.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $336.12 / $423.24 / $546.37	Professional	TC	$336.12	$423.24	$546.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.77 / $257.34 / $388.15	Professional		$78.77	$257.34	$388.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $607.26 / $776.99 / $927.32	Professional		$607.26	$776.99	$927.32
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $155.16 / $196.26 / $217.65	Professional	26	$155.16	$196.26	$217.65
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $452.10 / $580.72 / $709.68	Professional	TC	$452.10	$580.72	$709.68
United Facility/Professional Professional Modifier Low / Median / High Price $460.86 / $576.08 / $760.42	Professional		$460.86	$576.08	$760.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $109.35 / $136.69 / $181.80	Professional	26	$109.35	$136.69	$181.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $351.51 / $439.39 / $579.99	Professional	TC	$351.51	$439.39	$579.99