Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.54 / $42.54 / $48.92	Facility	26	$42.54	$42.54	$48.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.95 / $297.95 / $420.12	Professional		$297.95	$297.95	$420.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.04 / $63.72 / $105.53	Professional	26	$35.04	$63.72	$105.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $255.43 / $255.43 / $360.15	Professional	TC	$255.43	$255.43	$360.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.79 / $332.16 / $546.16	Professional		$265.79	$332.16	$546.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.24 / $51.41 / $70.14	Professional	26	$42.24	$51.41	$70.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $223.55 / $280.75 / $477.47	Professional	TC	$223.55	$280.75	$477.47
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 $449.12 / $561.23 / $596.58	Professional		$449.12	$561.23	$596.58
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $54.04 / $79.26 / $84.24	Professional	26	$54.04	$79.26	$84.24
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $395.09 / $481.97 / $512.33	Professional	TC	$395.09	$481.97	$512.33
United Facility/Professional Professional Modifier Low / Median / High Price $242.88 / $326.39 / $571.20	Professional		$242.88	$326.39	$571.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.63 / $40.40 / $65.51	Professional	26	$32.63	$40.40	$65.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $210.25 / $288.67 / $505.19	Professional	TC	$210.25	$288.67	$505.19