Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.55 / $88.55 / $88.55	Facility	26	$88.55	$88.55	$88.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.45 / $239.51 / $1,016.00	Professional		$174.45	$239.51	$1,016.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.98 / $94.75 / $320.63	Professional	26	$65.98	$94.75	$320.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $109.63 / $150.96 / $220.68	Professional	TC	$109.63	$150.96	$220.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.30 / $282.17 / $388.22	Professional		$210.30	$282.17	$388.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.44 / $102.57 / $150.31	Professional	26	$83.44	$102.57	$150.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $131.33 / $177.56 / $243.15	Professional	TC	$131.33	$177.56	$243.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.14 / $86.94 / $161.73	Professional		$53.14	$86.94	$161.73
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 $293.93 / $401.10 / $587.41	Professional		$293.93	$401.10	$587.41
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $106.17 / $142.85 / $196.14	Professional	26	$106.17	$142.85	$196.14
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $187.76 / $253.49 / $404.39	Professional	TC	$187.76	$253.49	$404.39
United Facility/Professional Professional Modifier Low / Median / High Price $176.88 / $228.36 / $323.42	Professional		$176.88	$228.36	$323.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.65 / $76.76 / $119.89	Professional	26	$64.65	$76.76	$119.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $108.49 / $153.60 / $229.32	Professional	TC	$108.49	$153.60	$229.32