Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.61 / $430.10 / $430.10	Facility	26	$31.61	$430.10	$430.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.12 / $150.06 / $480.00	Professional		$99.12	$150.06	$480.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.18 / $37.49 / $118.82	Professional	26	$23.18	$37.49	$118.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.48 / $87.92 / $136.69	Professional	TC	$67.48	$87.92	$136.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.59 / $145.22 / $208.93	Professional		$111.59	$145.22	$208.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.01 / $36.88 / $54.59	Professional	26	$30.01	$36.88	$54.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $82.61 / $109.21 / $155.41	Professional	TC	$82.61	$109.21	$155.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $65.98 / $100.37	Professional		$32.34	$65.98	$100.37
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $418.84 / $418.84 / $418.84	Facility	26	$418.84	$418.84	$418.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $153.76 / $212.86 / $317.89	Professional		$153.76	$212.86	$317.89
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $38.18 / $51.63 / $69.81	Professional	26	$38.18	$51.63	$69.81
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $115.58 / $157.96 / $248.08	Professional	TC	$115.58	$157.96	$248.08
United Facility/Professional Professional Modifier Low / Median / High Price $90.62 / $119.68 / $169.05	Professional		$90.62	$119.68	$169.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.36 / $31.68 / $43.81	Professional	26	$23.36	$31.68	$43.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.90 / $94.86 / $133.77	Professional	TC	$66.90	$94.86	$133.77