Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $253.91 / $253.91 / $253.91	Facility	26	$253.91	$253.91	$253.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.82 / $612.01 / $2,393.00	Professional		$471.82	$612.01	$2,393.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $217.63 / $402.83 / $1,035.39	Professional	26	$217.63	$402.83	$1,035.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $273.85 / $358.10 / $1,153.00	Professional	TC	$273.85	$358.10	$1,153.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $561.99 / $738.11 / $1,197.09	Professional		$561.99	$738.11	$1,197.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $268.50 / $304.27 / $419.81	Professional	26	$268.50	$304.27	$419.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $293.49 / $438.35 / $899.68	Professional	TC	$293.49	$438.35	$899.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.97 / $236.25 / $466.69	Professional		$158.97	$236.25	$466.69
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $2,297.17 / $2,297.17 / $2,297.17	Facility	26	$2,297.17	$2,297.17	$2,297.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $714.83 / $884.91 / $992.08	Professional		$714.83	$884.91	$992.08
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $332.14 / $420.89 / $466.73	Professional	26	$332.14	$420.89	$466.73
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $382.70 / $464.05 / $525.35	Professional	TC	$382.70	$464.05	$525.35
United Facility/Professional Professional Modifier Low / Median / High Price $576.01 / $705.86 / $866.72	Professional		$576.01	$705.86	$866.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $232.42 / $290.52 / $400.48	Professional	26	$232.42	$290.52	$400.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $265.62 / $343.77 / $476.72	Professional	TC	$265.62	$343.77	$476.72