Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $165.88 / $165.88 / $165.88	Facility	26	$165.88	$165.88	$165.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.18 / $305.01 / $1,596.00	Professional		$255.18	$305.01	$1,596.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $148.88 / $250.01 / $794.00	Professional	26	$148.88	$250.01	$794.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $130.72 / $139.12 / $797.39	Professional	TC	$130.72	$139.12	$797.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.30 / $379.64 / $528.86	Professional		$338.30	$379.64	$528.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $182.13 / $207.27 / $283.83	Professional	26	$182.13	$207.27	$283.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $156.16 / $173.78 / $245.02	Professional	TC	$156.16	$173.78	$245.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.92 / $155.97 / $286.26	Professional		$100.92	$155.97	$286.26
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 $427.31 / $524.74 / $580.72	Professional		$427.31	$524.74	$580.72
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $224.56 / $285.36 / $315.83	Professional	26	$224.56	$285.36	$315.83
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $202.75 / $239.35 / $264.89	Professional	TC	$202.75	$239.35	$264.89
United Facility/Professional Professional Modifier Low / Median / High Price $295.93 / $369.91 / $488.28	Professional		$295.93	$369.91	$488.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $157.35 / $196.69 / $259.63	Professional	26	$157.35	$196.69	$259.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $159.69 / $173.22 / $228.65	Professional	TC	$159.69	$173.22	$228.65