Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.70 / $55.70 / $55.70	Facility	26	$55.70	$55.70	$55.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.89 / $316.89 / $446.81	Professional		$316.89	$316.89	$446.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.76 / $55.70 / $90.13	Professional	26	$44.76	$55.70	$90.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $261.19 / $261.19 / $368.27	Professional	TC	$261.19	$261.19	$368.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.47 / $394.53 / $626.96	Professional		$321.47	$394.53	$626.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.05 / $66.98 / $89.70	Professional	26	$55.05	$66.98	$89.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $266.42 / $326.97 / $537.26	Professional	TC	$266.42	$326.97	$537.26
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 $470.93 / $673.92 / $716.37	Professional		$470.93	$673.92	$716.37
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $69.89 / $101.16 / $107.53	Professional	26	$69.89	$101.16	$107.53
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $401.04 / $572.76 / $608.83	Professional	TC	$401.04	$572.76	$608.83
United Facility/Professional Professional Modifier Low / Median / High Price $293.42 / $366.11 / $594.60	Professional		$293.42	$366.11	$594.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.75 / $51.46 / $85.80	Professional	26	$42.75	$51.46	$85.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $250.67 / $307.44 / $508.80	Professional	TC	$250.67	$307.44	$508.80