Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.11 / $55.11 / $55.11	Facility	26	$55.11	$55.11	$55.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.34 / $334.34 / $471.41	Professional		$334.34	$334.34	$471.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.68 / $55.11 / $115.20	Professional	26	$46.68	$55.11	$115.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $279.22 / $279.22 / $393.70	Professional	TC	$279.22	$279.22	$393.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.73 / $441.80 / $684.92	Professional		$344.73	$441.80	$684.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.08 / $70.23 / $107.79	Professional	26	$57.08	$70.23	$107.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $287.64 / $368.97 / $587.29	Professional	TC	$287.64	$368.97	$587.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.99 / $215.48 / $305.09	Professional		$32.99	$215.48	$305.09
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 $451.11 / $650.22 / $691.18	Professional		$451.11	$650.22	$691.18
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $72.87 / $106.06 / $112.74	Professional	26	$72.87	$106.06	$112.74
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $378.23 / $544.14 / $578.41	Professional	TC	$378.23	$544.14	$578.41
United Facility/Professional Professional Modifier Low / Median / High Price $273.20 / $344.29 / $572.39	Professional		$273.20	$344.29	$572.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.46 / $53.77 / $89.39	Professional	26	$42.46	$53.77	$89.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $230.75 / $290.52 / $483.00	Professional	TC	$230.75	$290.52	$483.00