Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.15 / $99.07 / $220.33	Facility	26	$86.15	$99.07	$220.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.44 / $513.15 / $723.54	Professional		$433.44	$513.15	$723.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.85 / $86.15 / $160.36	Professional	26	$14.85	$86.15	$160.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $427.00 / $427.00 / $602.05	Professional	TC	$427.00	$427.00	$602.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.95 / $546.07 / $878.75	Professional		$444.95	$546.07	$878.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.61 / $103.84 / $141.80	Professional	26	$84.61	$103.84	$141.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $360.34 / $443.93 / $736.95	Professional	TC	$360.34	$443.93	$736.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $288.20 / $435.18	Professional		$79.48	$288.20	$435.18
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $2,376.81 / $2,376.81 / $2,376.81	Facility	26	$2,376.81	$2,376.81	$2,376.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $643.94 / $917.70 / $975.49	Professional		$643.94	$917.70	$975.49
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $110.55 / $158.27 / $168.23	Professional	26	$110.55	$158.27	$168.23
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $533.39 / $759.42 / $807.25	Professional	TC	$533.39	$759.42	$807.25
United Facility/Professional Professional Modifier Low / Median / High Price $406.05 / $518.88 / $805.80	Professional		$406.05	$518.88	$805.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.14 / $89.08 / $141.44	Professional	26	$66.14	$89.08	$141.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $339.91 / $429.80 / $671.40	Professional	TC	$339.91	$429.80	$671.40