Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.24 / $128.24 / $128.24	Facility	26	$128.24	$128.24	$128.24
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $73.73 / $73.73 / $73.73	Facility	53	$73.73	$73.73	$73.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.48 / $358.67 / $519.85	Professional		$222.48	$358.67	$519.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.86 / $128.24 / $466.00	Professional	26	$84.86	$128.24	$466.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.39 / $385.74 / $502.51	Professional		$281.39	$385.74	$502.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $128.75 / $155.47 / $228.24	Professional	26	$128.75	$155.47	$228.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $118.59 / $226.42	Professional		$80.09	$118.59	$226.42
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 $373.42 / $511.14 / $778.49	Professional		$373.42	$511.14	$778.49
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $164.22 / $220.20 / $302.02	Professional	26	$164.22	$220.20	$302.02
United Facility/Professional Professional Modifier Low / Median / High Price $226.06 / $324.02 / $465.51	Professional		$226.06	$324.02	$465.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $99.52 / $121.68 / $187.20	Professional	26	$99.52	$121.68	$187.20