Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $124.58 / $124.58 / $124.58	Facility	26	$124.58	$124.58	$124.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $999.78 / $999.78 / $4,963.22	Professional		$999.78	$999.78	$4,963.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $875.20 / $875.20 / $4,394.97	Professional	TC	$875.20	$875.20	$4,394.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $685.44 / $995.66 / $1,706.27	Professional		$685.44	$995.66	$1,706.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $550.66 / $854.73 / $1,519.29	Professional	TC	$550.66	$854.73	$1,519.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.22 / $754.48 / $1,051.26	Professional		$94.22	$754.48	$1,051.26
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,289.40 / $1,289.40 / $1,289.40	Facility	26	$1,289.40	$1,289.40	$1,289.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,405.37 / $1,518.73 / $1,561.52	Professional		$1,405.37	$1,518.73	$1,561.52
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $1,189.36 / $1,292.82 / $1,396.83	Professional	TC	$1,189.36	$1,292.82	$1,396.83
United Facility/Professional Professional Modifier Low / Median / High Price $866.15 / $1,082.69 / $1,440.00	Professional		$866.15	$1,082.69	$1,440.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $742.02 / $1,013.00 / $1,254.08	Professional	TC	$742.02	$1,013.00	$1,254.08