Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $444.60 / $444.60 / $444.60	Facility	26	$444.60	$444.60	$444.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,889.42 / $2,245.67 / $10,654.00	Professional		$1,889.42	$2,245.67	$10,654.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $400.86 / $705.36 / $1,898.59	Professional	26	$400.86	$705.36	$1,898.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $1,509.45 / $1,801.08 / $8,523.54	Professional	TC	$1,509.45	$1,801.08	$8,523.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,118.27 / $2,650.90 / $3,350.83	Professional		$2,118.27	$2,650.90	$3,350.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $501.08 / $541.65 / $782.58	Professional	26	$501.08	$541.65	$782.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1,617.19 / $2,125.38 / $2,568.25	Professional	TC	$1,617.19	$2,125.38	$2,568.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $317.94 / $1,254.91 / $1,808.16	Professional		$317.94	$1,254.91	$1,808.16
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 $2,744.31 / $3,646.39 / $3,876.03	Professional		$2,744.31	$3,646.39	$3,876.03
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $619.16 / $783.56 / $867.32	Professional	26	$619.16	$783.56	$867.32
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $2,125.15 / $2,733.81 / $3,008.02	Professional	TC	$2,125.15	$2,733.81	$3,008.02
United Facility/Professional Professional Modifier Low / Median / High Price $1,949.20 / $2,487.09 / $3,240.60	Professional		$1,949.20	$2,487.09	$3,240.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $432.71 / $540.89 / $713.97	Professional	26	$432.71	$540.89	$713.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $1,712.45 / $1,988.63 / $2,625.91	Professional	TC	$1,712.45	$1,988.63	$2,625.91