Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.58 / $112.58 / $112.58	Facility	26	$112.58	$112.58	$112.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.74 / $176.09 / $857.00	Professional		$146.74	$176.09	$857.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.94 / $63.50 / $298.89	Professional	TC	$52.94	$63.50	$298.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.72 / $207.07 / $269.62	Professional		$168.72	$207.07	$269.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.70 / $71.12 / $106.08	Professional	TC	$58.70	$71.12	$106.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.97 / $85.26 / $131.01	Professional		$50.97	$85.26	$131.01
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $454.31 / $454.31 / $454.31	Facility	26	$454.31	$454.31	$454.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $216.14 / $269.18 / $296.47	Professional		$216.14	$269.18	$296.47
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $79.81 / $88.68 / $95.09	Professional	TC	$79.81	$88.68	$95.09
United Facility/Professional Professional Modifier Low / Median / High Price $129.76 / $152.66 / $256.18	Professional		$129.76	$152.66	$256.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.17 / $58.25 / $98.75	Professional	TC	$44.17	$58.25	$98.75