Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.72 / $73.72 / $73.72	Facility	26	$73.72	$73.72	$73.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.57 / $197.23 / $279.91	Professional		$108.57	$197.23	$279.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.02 / $73.72 / $141.97	Professional	26	$57.02	$73.72	$141.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.63 / $127.27 / $190.84	Professional	TC	$52.63	$127.27	$190.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.41 / $183.12 / $244.16	Professional		$135.41	$183.12	$244.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.62 / $83.80 / $123.46	Professional	26	$69.62	$83.80	$123.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.66 / $90.92 / $139.04	Professional	TC	$66.66	$90.92	$139.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $65.49 / $98.49	Professional		$32.34	$65.49	$98.49
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 $134.26 / $169.68 / $212.19	Professional		$134.26	$169.68	$212.19
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $67.31 / $87.93 / $111.28	Professional	26	$67.31	$87.93	$111.28
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $66.94 / $82.71 / $100.90	Professional	TC	$66.94	$82.71	$100.90
United Facility/Professional Professional Modifier Low / Median / High Price $107.26 / $152.24 / $244.08	Professional		$107.26	$152.24	$244.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.25 / $72.80 / $105.01	Professional	26	$54.25	$72.80	$105.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $53.01 / $76.31 / $166.49	Professional	TC	$53.01	$76.31	$166.49