Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.03 / $47.03 / $47.03	Facility	26	$47.03	$47.03	$47.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.36 / $272.36 / $384.02	Professional		$272.36	$272.36	$384.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.77 / $66.31 / $98.21	Professional	26	$37.77	$66.31	$98.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $225.33 / $225.33 / $317.70	Professional	TC	$225.33	$225.33	$317.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.10 / $313.73 / $567.40	Professional		$239.10	$313.73	$567.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.50 / $57.06 / $86.53	Professional	26	$46.50	$57.06	$86.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $192.61 / $256.66 / $480.87	Professional	TC	$192.61	$256.66	$480.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.99 / $203.21 / $274.63	Professional		$32.99	$203.21	$274.63
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 $400.55 / $489.49 / $520.30	Professional		$400.55	$489.49	$520.30
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $58.49 / $84.88 / $90.42	Professional	26	$58.49	$84.88	$90.42
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $342.05 / $404.61 / $430.09	Professional	TC	$342.05	$404.61	$430.09
United Facility/Professional Professional Modifier Low / Median / High Price $215.44 / $295.54 / $517.20	Professional		$215.44	$295.54	$517.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.10 / $43.25 / $72.61	Professional	26	$36.10	$43.25	$72.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $179.34 / $254.05 / $444.59	Professional	TC	$179.34	$254.05	$444.59