Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $376.42 / $376.42 / $10,880.19	Facility	26	$376.42	$376.42	$10,880.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,133.92 / $1,203.03 / $1,422.16	Professional		$1,133.92	$1,203.03	$1,422.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $279.16 / $376.42 / $695.01	Professional	26	$279.16	$376.42	$695.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $815.25 / $826.61 / $1,033.01	Professional	TC	$815.25	$826.61	$1,033.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,369.70 / $1,525.82 / $1,806.31	Professional		$1,369.70	$1,525.82	$1,806.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $401.27 / $443.30 / $538.51	Professional	26	$401.27	$443.30	$538.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $939.25 / $1,060.77 / $1,320.26	Professional	TC	$939.25	$1,060.77	$1,320.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $218.04 / $605.23 / $975.67	Professional		$218.04	$605.23	$975.67
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $5,276.22 / $5,276.22 / $5,276.22	Facility	26	$5,276.22	$5,276.22	$5,276.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,957.82 / $2,179.63 / $2,744.76	Professional		$1,957.82	$2,179.63	$2,744.76
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $546.73 / $684.09 / $898.44	Professional	26	$546.73	$684.09	$898.44
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $1,406.96 / $1,567.86 / $1,870.43	Professional	TC	$1,406.96	$1,567.86	$1,870.43
United Facility/Professional Professional Modifier Low / Median / High Price $881.89 / $1,097.48 / $1,834.93	Professional		$881.89	$1,097.48	$1,834.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $282.48 / $374.59 / $516.52	Professional	26	$282.48	$374.59	$516.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $721.04 / $876.47 / $1,318.41	Professional	TC	$721.04	$876.47	$1,318.41