Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.20 / $62.20 / $62.20	Facility	26	$62.20	$62.20	$62.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.51 / $375.51 / $375.51	Professional		$375.51	$375.51	$375.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.20 / $62.20 / $62.20	Professional	26	$62.20	$62.20	$62.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $313.31 / $313.31 / $313.31	Professional	TC	$313.31	$313.31	$313.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.36 / $475.39 / $633.35	Professional		$387.36	$475.39	$633.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.44 / $78.23 / $104.92	Professional	26	$64.44	$78.23	$104.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $322.91 / $397.76 / $528.42	Professional	TC	$322.91	$397.76	$528.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.99 / $230.56 / $313.86	Professional		$32.99	$230.56	$313.86
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 $476.39 / $695.43 / $739.22	Professional		$476.39	$695.43	$739.22
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $81.79 / $118.23 / $125.67	Professional	26	$81.79	$118.23	$125.67
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $394.60 / $577.20 / $613.54	Professional	TC	$394.60	$577.20	$613.54
United Facility/Professional Professional Modifier Low / Median / High Price $306.99 / $379.91 / $607.21	Professional		$306.99	$379.91	$607.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.94 / $59.91 / $99.61	Professional	26	$47.94	$59.91	$99.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $259.05 / $290.05 / $507.60	Professional	TC	$259.05	$290.05	$507.60