Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.26 / $112.26 / $112.26	Facility	26	$112.26	$112.26	$112.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.26 / $343.25 / $785.20	Professional		$342.26	$343.25	$785.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $101.97 / $112.26 / $237.54	Professional	26	$101.97	$112.26	$237.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $230.00 / $230.00 / $433.62	Professional	TC	$230.00	$230.00	$433.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.99 / $424.80 / $634.41	Professional		$400.99	$424.80	$634.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $122.22 / $140.16 / $191.10	Professional	26	$122.22	$140.16	$191.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $270.41 / $289.05 / $443.32	Professional	TC	$270.41	$289.05	$443.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $202.66 / $316.99	Professional		$79.48	$202.66	$316.99
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 $518.03 / $588.00 / $650.76	Professional		$518.03	$588.00	$650.76
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $151.19 / $192.88 / $213.45	Professional	26	$151.19	$192.88	$213.45
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $366.83 / $407.59 / $437.32	Professional	TC	$366.83	$407.59	$437.32
United Facility/Professional Professional Modifier Low / Median / High Price $343.21 / $429.01 / $566.29	Professional		$343.21	$429.01	$566.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $106.10 / $132.63 / $175.07	Professional	26	$106.10	$132.63	$175.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $237.11 / $296.38 / $394.20	Professional	TC	$237.11	$296.38	$394.20