Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.12 / $77.12 / $77.12	Facility	26	$77.12	$77.12	$77.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.23 / $239.17 / $976.51	Professional		$205.23	$239.17	$976.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.21 / $87.48 / $335.70	Professional	26	$61.21	$87.48	$335.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $142.71 / $163.87 / $261.07	Professional	TC	$142.71	$163.87	$261.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.74 / $308.88 / $466.89	Professional		$250.74	$308.88	$466.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.77 / $90.80 / $131.94	Professional	26	$73.77	$90.80	$131.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $164.52 / $219.71 / $338.19	Professional	TC	$164.52	$219.71	$338.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $150.89 / $202.48	Professional		$32.34	$150.89	$202.48
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $878.86 / $878.86 / $878.86	Facility	26	$878.86	$878.86	$878.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $349.36 / $465.34 / $617.95	Professional		$349.36	$465.34	$617.95
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $94.66 / $127.30 / $174.68	Professional	26	$94.66	$127.30	$174.68
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $254.70 / $338.04 / $443.27	Professional	TC	$254.70	$338.04	$443.27
United Facility/Professional Professional Modifier Low / Median / High Price $197.40 / $276.36 / $390.52	Professional		$197.40	$276.36	$390.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.30 / $70.59 / $109.21	Professional	26	$54.30	$70.59	$109.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.16 / $201.97 / $270.08	Professional	TC	$144.16	$201.97	$270.08