Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.14 / $708.19 / $733.36	Facility		$206.14	$708.19	$733.36
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.74 / $33.74 / $33.74	Facility	26	$33.74	$33.74	$33.74
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $172.40 / $172.40 / $172.40	Facility	TC	$172.40	$172.40	$172.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $227.73 / $951.00	Professional		$93.00	$227.73	$951.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.85 / $36.25 / $172.00	Professional	26	$26.85	$36.25	$172.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $167.18 / $190.99 / $308.85	Professional	TC	$167.18	$190.99	$308.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.70 / $736.90 / $845.81	Facility		$270.70	$736.90	$845.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.32 / $359.63 / $506.46	Professional		$274.32	$359.63	$506.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.00 / $50.82 / $81.34	Professional	26	$38.00	$50.82	$81.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $238.27 / $312.31 / $418.22	Professional	TC	$238.27	$312.31	$418.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $177.77 / $237.48	Professional		$32.34	$177.77	$237.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $378.22 / $471.61 / $677.06	Facility		$378.22	$471.61	$677.06
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $418.84 / $418.84 / $418.84	Facility	26	$418.84	$418.84	$418.84
Regence BlueShield Facility/Professional Facility Modifier TC Low / Median / High Price $418.84 / $418.84 / $418.84	Facility	TC	$418.84	$418.84	$418.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $275.79 / $347.17 / $452.64	Professional		$275.79	$347.17	$452.64
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $42.46 / $55.96 / $73.05	Professional	26	$42.46	$55.96	$73.05
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $233.33 / $290.42 / $379.60	Professional	TC	$233.33	$290.42	$379.60
United Facility/Professional Professional Modifier Low / Median / High Price $229.44 / $302.00 / $466.00	Professional		$229.44	$302.00	$466.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.19 / $42.50 / $66.59	Professional	26	$32.19	$42.50	$66.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $198.71 / $272.70 / $486.98	Professional	TC	$198.71	$272.70	$486.98