Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.36 / $106.67 / $106.67	Facility	26	$15.36	$106.67	$106.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.93 / $315.43 / $1,141.41	Professional		$240.93	$315.43	$1,141.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.77 / $106.84 / $388.66	Professional	26	$77.77	$106.84	$388.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $138.61 / $175.50 / $261.02	Professional	TC	$138.61	$175.50	$261.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.57 / $340.52 / $493.80	Professional		$266.57	$340.52	$493.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $123.39 / $178.78	Professional	26	$100.00	$123.39	$178.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $168.24 / $221.58 / $316.39	Professional	TC	$168.24	$221.58	$316.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $118.59 / $222.38	Professional		$80.09	$118.59	$222.38
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 $365.05 / $501.73 / $661.01	Professional		$365.05	$501.73	$661.01
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $127.61 / $171.14 / $227.61	Professional	26	$127.61	$171.14	$227.61
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $237.44 / $321.07 / $445.92	Professional	TC	$237.44	$321.07	$445.92
United Facility/Professional Professional Modifier Low / Median / High Price $218.79 / $278.02 / $400.05	Professional		$218.79	$278.02	$400.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.44 / $101.65 / $146.03	Professional	26	$77.44	$101.65	$146.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $136.01 / $178.16 / $267.05	Professional	TC	$136.01	$178.16	$267.05