Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.00 / $106.00 / $536.09	Facility	26	$106.00	$106.00	$536.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.32 / $356.21 / $1,241.00	Professional		$254.32	$356.21	$1,241.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.84 / $120.95 / $369.00	Professional	26	$55.84	$120.95	$369.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $167.18 / $197.19 / $316.64	Professional	TC	$167.18	$197.19	$316.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.88 / $407.63 / $554.41	Professional		$311.88	$407.63	$554.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.25 / $88.44 / $125.90	Professional	26	$64.25	$88.44	$125.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $243.78 / $320.18 / $426.31	Professional	TC	$243.78	$320.18	$426.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $184.69 / $263.94	Professional		$32.34	$184.69	$263.94
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 Professional Modifier Low / Median / High Price $303.33 / $394.52 / $551.28	Professional		$303.33	$394.52	$551.28
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $61.97 / $84.29 / $146.13	Professional	26	$61.97	$84.29	$146.13
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $241.36 / $313.92 / $405.13	Professional	TC	$241.36	$313.92	$405.13
United Facility/Professional Professional Modifier Low / Median / High Price $255.07 / $367.15 / $559.51	Professional		$255.07	$367.15	$559.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.54 / $75.40 / $133.51	Professional	26	$50.54	$75.40	$133.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $197.08 / $281.16 / $498.33	Professional	TC	$197.08	$281.16	$498.33