Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.56 / $66.56 / $66.56	Facility	26	$66.56	$66.56	$66.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.11 / $174.70 / $500.47	Professional		$153.11	$174.70	$500.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.77 / $66.56 / $138.43	Professional	26	$56.77	$66.56	$138.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $99.68 / $111.67 / $321.39	Professional	TC	$99.68	$111.67	$321.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.94 / $412.99 / $631.59	Professional		$333.94	$412.99	$631.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.15 / $79.73 / $127.01	Professional	26	$67.15	$79.73	$127.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $265.57 / $340.53 / $511.90	Professional	TC	$265.57	$340.53	$511.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.14 / $88.11 / $159.96	Professional		$53.14	$88.11	$159.96
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $198.33 / $198.33 / $198.33	Facility	26	$198.33	$198.33	$198.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $375.62 / $468.09 / $585.37	Professional		$375.62	$468.09	$585.37
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $66.56 / $86.41 / $108.07	Professional	26	$66.56	$86.41	$108.07
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $309.06 / $381.68 / $477.31	Professional	TC	$309.06	$381.68	$477.31
United Facility/Professional Professional Modifier Low / Median / High Price $286.16 / $392.26 / $531.60	Professional		$286.16	$392.26	$531.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.01 / $67.77 / $102.59	Professional	26	$53.01	$67.77	$102.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $230.62 / $314.68 / $428.42	Professional	TC	$230.62	$314.68	$428.42