Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $229.14 / $229.14 / $229.14	Facility	26	$229.14	$229.14	$229.14
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $208.45 / $208.45 / $208.45	Facility	53	$208.45	$208.45	$208.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $739.49 / $1,042.25 / $4,569.96	Professional		$739.49	$1,042.25	$4,569.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.10 / $228.77 / $663.14	Professional	26	$109.10	$228.77	$663.14
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $361.16 / $519.00 / $2,346.23	Professional	52	$361.16	$519.00	$2,346.23
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $144.46 / $207.60 / $938.49	Professional	53	$144.46	$207.60	$938.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $630.39 / $813.10 / $1,146.47	Professional	TC	$630.39	$813.10	$1,146.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.12 / $1,164.63 / $1,773.70	Professional		$794.12	$1,164.63	$1,773.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $131.97 / $241.18 / $284.64	Professional	26	$131.97	$241.18	$284.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $663.57 / $932.56 / $1,468.34	Professional	TC	$663.57	$932.56	$1,468.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $475.80 / $693.44	Professional		$80.09	$475.80	$693.44
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,473.47 / $1,473.47 / $1,473.47	Facility	26	$1,473.47	$1,473.47	$1,473.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $754.89 / $1,097.68 / $1,909.54	Professional		$754.89	$1,097.68	$1,909.54
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $113.75 / $156.28 / $436.65	Professional	26	$113.75	$156.28	$436.65
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $641.14 / $941.40 / $1,472.90	Professional	TC	$641.14	$941.40	$1,472.90
United Facility/Professional Professional Modifier Low / Median / High Price $826.20 / $1,072.28 / $1,530.90	Professional		$826.20	$1,072.28	$1,530.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $124.45 / $187.60 / $337.69	Professional	26	$124.45	$187.60	$337.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $659.68 / $811.09 / $1,242.58	Professional	TC	$659.68	$811.09	$1,242.58