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 $375.36 / $420.95 / $2,373.54	Professional		$375.36	$420.95	$2,373.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $150.82 / $165.88 / $872.89	Professional	26	$150.82	$165.88	$872.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $209.47 / $209.47 / $1,500.65	Professional	TC	$209.47	$209.47	$1,500.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.44 / $496.48 / $837.99	Professional		$443.44	$496.48	$837.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $181.75 / $207.27 / $283.24	Professional	26	$181.75	$207.27	$283.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $246.54 / $278.04 / $554.74	Professional	TC	$246.54	$278.04	$554.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.47 / $260.56 / $441.94	Professional		$131.47	$260.56	$441.94
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 $672.34 / $714.68 / $759.00	Professional		$672.34	$714.68	$759.00
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $224.06 / $285.36 / $315.83	Professional	26	$224.06	$285.36	$315.83
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $375.20 / $400.41 / $510.04	Professional	TC	$375.20	$400.41	$510.04
United Facility/Professional Professional Modifier Low / Median / High Price $417.56 / $521.95 / $688.97	Professional		$417.56	$521.95	$688.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $156.99 / $196.24 / $259.02	Professional	26	$156.99	$196.24	$259.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $240.81 / $317.98 / $429.94	Professional	TC	$240.81	$317.98	$429.94