Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.75 / $113.75 / $113.75	Facility	26	$113.75	$113.75	$113.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $993.46 / $993.46 / $993.46	Professional		$993.46	$993.46	$993.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.90 / $113.75 / $224.40	Professional	26	$90.90	$113.75	$224.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $879.71 / $879.71 / $879.71	Professional	TC	$879.71	$879.71	$879.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $961.52 / $1,232.65 / $2,316.39	Professional		$961.52	$1,232.65	$2,316.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.60 / $143.63 / $271.26	Professional	26	$112.60	$143.63	$271.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $848.92 / $1,096.94 / $2,045.12	Professional	TC	$848.92	$1,096.94	$2,045.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.95 / $549.67 / $815.13	Professional		$79.95	$549.67	$815.13
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $2,694.22 / $2,694.22 / $2,694.22	Facility	26	$2,694.22	$2,694.22	$2,694.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,222.44 / $1,735.98 / $1,874.34	Professional		$1,222.44	$1,735.98	$1,874.34
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $140.79 / $190.12 / $214.51	Professional	26	$140.79	$190.12	$214.51
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $1,081.67 / $1,545.86 / $1,659.82	Professional	TC	$1,081.67	$1,545.86	$1,659.82
United Facility/Professional Professional Modifier Low / Median / High Price $764.75 / $955.65 / $1,906.55	Professional		$764.75	$955.65	$1,906.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.76 / $103.65 / $174.00	Professional	26	$83.76	$103.65	$174.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $680.99 / $842.74 / $1,404.13	Professional	TC	$680.99	$842.74	$1,404.13