Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.20 / $116.20 / $116.20	Facility	26	$116.20	$116.20	$116.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.59 / $219.96 / $764.42	Professional		$154.59	$219.96	$764.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $101.87 / $210.74 / $504.31	Professional	26	$101.87	$210.74	$504.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.65 / $103.76 / $149.44	Professional	TC	$28.65	$103.76	$149.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.47 / $263.93 / $467.74	Professional		$171.47	$263.93	$467.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $127.34 / $141.86 / $199.23	Professional	26	$127.34	$141.86	$199.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.26 / $75.26 / $331.27	Professional	TC	$39.26	$75.26	$331.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $91.75 / $132.42	Professional		$25.48	$91.75	$132.42
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $987.44 / $987.44 / $987.44	Facility	26	$987.44	$987.44	$987.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $211.18 / $287.45 / $321.19	Professional		$211.18	$287.45	$321.19
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $157.63 / $205.00 / $227.32	Professional	26	$157.63	$205.00	$227.32
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $53.54 / $82.46 / $93.88	Professional	TC	$53.54	$82.46	$93.88
United Facility/Professional Professional Modifier Low / Median / High Price $170.16 / $220.63 / $272.88	Professional		$170.16	$220.63	$272.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $110.80 / $138.50 / $182.82	Professional	26	$110.80	$138.50	$182.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.98 / $43.14 / $121.46	Professional	TC	$25.98	$43.14	$121.46