Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.54 / $52.54 / $52.54	Facility	26	$52.54	$52.54	$52.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.14 / $277.14 / $277.14	Professional		$277.14	$277.14	$277.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $224.60 / $224.60 / $224.60	Professional	TC	$224.60	$224.60	$224.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.95 / $299.64 / $410.13	Professional		$243.95	$299.64	$410.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $192.97 / $241.37 / $328.27	Professional	TC	$192.97	$241.37	$328.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.60 / $147.66 / $202.90	Professional		$32.60	$147.66	$202.90
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $890.71 / $890.71 / $890.71	Facility	26	$890.71	$890.71	$890.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $305.36 / $442.69 / $470.57	Professional		$305.36	$442.69	$470.57
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $242.90 / $351.70 / $373.86	Professional	TC	$242.90	$351.70	$373.86
United Facility/Professional Professional Modifier Low / Median / High Price $196.02 / $246.06 / $383.40	Professional		$196.02	$246.06	$383.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $156.76 / $195.73 / $306.60	Professional	TC	$156.76	$195.73	$306.60