Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.42 / $68.42 / $68.42	Facility	26	$68.42	$68.42	$68.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.58 / $275.16 / $776.47	Professional		$137.58	$275.16	$776.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.03 / $247.94 / $702.85	Professional	26	$59.03	$247.94	$702.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.81 / $102.94 / $389.70	Professional	TC	$69.81	$102.94	$389.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.46 / $198.53 / $230.79	Professional		$146.46	$198.53	$230.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.77 / $83.71 / $112.77	Professional	26	$71.77	$83.71	$112.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.69 / $112.72 / $144.30	Professional	TC	$74.69	$112.72	$144.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.30 / $65.49 / $131.90	Professional		$47.30	$65.49	$131.90
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 $186.89 / $273.73 / $307.97	Professional		$186.89	$273.73	$307.97
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $89.23 / $120.99 / $134.13	Professional	26	$89.23	$120.99	$134.13
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $97.66 / $152.72 / $173.83	Professional	TC	$97.66	$152.72	$173.83
United Facility/Professional Professional Modifier Low / Median / High Price $150.59 / $166.44 / $216.59	Professional		$150.59	$166.44	$216.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.80 / $78.50 / $105.03	Professional	26	$62.80	$78.50	$105.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.48 / $109.76 / $134.62	Professional	TC	$67.48	$109.76	$134.62