Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.33 / $614.76 / $920.60	Facility		$211.33	$614.76	$920.60
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.97 / $38.97 / $38.97	Facility	26	$38.97	$38.97	$38.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.18 / $212.66 / $902.00	Professional		$173.18	$212.66	$902.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.60 / $38.97 / $91.15	Professional	26	$30.60	$38.97	$91.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $133.68 / $172.36 / $251.96	Professional	TC	$133.68	$172.36	$251.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.74 / $736.90 / $845.81	Facility		$253.74	$736.90	$845.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.10 / $274.89 / $366.33	Professional		$205.10	$274.89	$366.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.01 / $49.28 / $78.20	Professional	26	$40.01	$49.28	$78.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $163.18 / $218.23 / $287.48	Professional	TC	$163.18	$218.23	$287.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $121.29 / $164.96	Professional		$32.34	$121.29	$164.96
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 Professional Modifier Low / Median / High Price $206.94 / $269.14 / $342.98	Professional		$206.94	$269.14	$342.98
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $42.84 / $53.19 / $72.61	Professional	26	$42.84	$53.19	$72.61
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $164.10 / $213.43 / $289.77	Professional	TC	$164.10	$213.43	$289.77
United Facility/Professional Professional Modifier Low / Median / High Price $170.24 / $240.24 / $343.15	Professional		$170.24	$240.24	$343.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.33 / $43.68 / $59.76	Professional	26	$33.33	$43.68	$59.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $133.50 / $190.07 / $308.49	Professional	TC	$133.50	$190.07	$308.49