Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.61 / $38.61 / $38.61	Facility	26	$38.61	$38.61	$38.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.84 / $339.84 / $479.17	Professional		$339.84	$339.84	$479.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.61 / $54.45 / $62.49	Professional	26	$38.61	$54.45	$62.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $301.22 / $301.22 / $424.72	Professional	TC	$301.22	$301.22	$424.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.30 / $447.86 / $678.90	Professional		$350.30	$447.86	$678.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.97 / $49.07 / $75.48	Professional	26	$39.97	$49.07	$75.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $310.32 / $398.04 / $610.85	Professional	TC	$310.32	$398.04	$610.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.60 / $230.56 / $313.86	Professional		$32.60	$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 $441.19 / $641.57 / $681.98	Professional		$441.19	$641.57	$681.98
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $51.06 / $73.63 / $78.26	Professional	26	$51.06	$73.63	$78.26
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $390.13 / $567.94 / $603.71	Professional	TC	$390.13	$567.94	$603.71
United Facility/Professional Professional Modifier Low / Median / High Price $278.69 / $344.88 / $562.79	Professional		$278.69	$344.88	$562.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.75 / $37.17 / $61.80	Professional	26	$29.75	$37.17	$61.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $248.94 / $301.35 / $501.00	Professional	TC	$248.94	$301.35	$501.00