Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.76 / $85.76 / $185.76	Facility	26	$85.76	$85.76	$185.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.79 / $428.79 / $604.59	Professional		$428.79	$428.79	$604.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.95 / $85.76 / $136.06	Professional	26	$68.95	$85.76	$136.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $343.03 / $343.03 / $483.67	Professional	TC	$343.03	$343.03	$483.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.56 / $553.78 / $838.71	Professional		$444.56	$553.78	$838.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.90 / $106.21 / $144.63	Professional	26	$88.90	$106.21	$144.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $358.37 / $452.20 / $680.18	Professional	TC	$358.37	$452.20	$680.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $259.38 / $401.54	Professional		$79.48	$259.38	$401.54
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $890.71 / $890.71 / $890.71	Facility	26	$890.71	$890.71	$890.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $590.90 / $798.85 / $863.81	Professional		$590.90	$798.85	$863.81
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $107.07 / $153.71 / $163.65	Professional	26	$107.07	$153.71	$163.65
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $483.82 / $647.49 / $700.16	Professional	TC	$483.82	$647.49	$700.16
United Facility/Professional Professional Modifier Low / Median / High Price $340.38 / $460.50 / $765.60	Professional		$340.38	$460.50	$765.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.43 / $82.20 / $130.81	Professional	26	$66.43	$82.20	$130.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $273.95 / $362.73 / $634.79	Professional	TC	$273.95	$362.73	$634.79