Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.24 / $26.24 / $26.24	Facility	26	$26.24	$26.24	$26.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.90 / $250.90 / $353.76	Professional		$250.90	$250.90	$353.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $26.24 / $56.03	Professional	26	$21.88	$26.24	$56.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $224.65 / $224.65 / $316.75	Professional	TC	$224.65	$224.65	$316.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.69 / $317.48 / $423.17	Professional		$258.69	$317.48	$423.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.17 / $32.28 / $44.27	Professional	26	$27.17	$32.28	$44.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $231.52 / $285.02 / $378.90	Professional	TC	$231.52	$285.02	$378.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.60 / $177.19 / $237.48	Professional		$32.60	$177.19	$237.48
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $686.36 / $686.36 / $686.36	Facility	26	$686.36	$686.36	$686.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $323.70 / $465.95 / $495.30	Professional		$323.70	$465.95	$495.30
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $33.71 / $48.78 / $51.85	Professional	26	$33.71	$48.78	$51.85
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $290.00 / $417.17 / $443.45	Professional	TC	$290.00	$417.17	$443.45
United Facility/Professional Professional Modifier Low / Median / High Price $205.91 / $260.83 / $411.59	Professional		$205.91	$260.83	$411.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.21 / $25.02 / $41.09	Professional	26	$20.21	$25.02	$41.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $185.70 / $229.80 / $444.23	Professional	TC	$185.70	$229.80	$444.23