Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.68 / $1,174.72 / $2,038.52	Facility		$494.68	$1,174.72	$2,038.52
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.65 / $136.80 / $154.47	Facility	26	$66.65	$136.80	$154.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.09 / $264.39 / $928.00	Professional		$160.09	$264.39	$928.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.88 / $76.53 / $277.56	Professional	26	$54.88	$76.53	$277.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $116.90 / $185.73 / $294.66	Professional	TC	$116.90	$185.73	$294.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $973.00 / $973.00	Facility		$973.00	$973.00	$973.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.43 / $298.13 / $458.69	Professional		$235.43	$298.13	$458.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.15 / $96.23 / $148.69	Professional	26	$80.15	$96.23	$148.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $148.63 / $203.24 / $312.41	Professional	TC	$148.63	$203.24	$312.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.14 / $115.25 / $162.99	Professional		$53.14	$115.25	$162.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $799.34 / $1,046.00 / $1,524.33	Facility		$799.34	$1,046.00	$1,524.33
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 $309.62 / $421.18 / $592.54	Professional		$309.62	$421.18	$592.54
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $106.17 / $142.85 / $174.68	Professional	26	$106.17	$142.85	$174.68
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $203.45 / $278.74 / $417.84	Professional	TC	$203.45	$278.74	$417.84
United Facility/Professional Professional Modifier Low / Median / High Price $190.34 / $259.70 / $467.45	Professional		$190.34	$259.70	$467.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.69 / $79.04 / $125.37	Professional	26	$61.69	$79.04	$125.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $124.74 / $174.85 / $243.00	Professional	TC	$124.74	$174.85	$243.00