Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.59 / $45.59 / $45.59	Facility	26	$45.59	$45.59	$45.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.36 / $298.33 / $446.26	Professional		$239.36	$298.33	$446.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.54 / $40.90 / $51.68	Professional	26	$35.54	$40.90	$51.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $199.05 / $252.75 / $297.27	Professional	TC	$199.05	$252.75	$297.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.55 / $349.33 / $531.88	Professional		$280.55	$349.33	$531.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.85 / $52.92 / $76.83	Professional	26	$43.85	$52.92	$76.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $238.73 / $294.66 / $452.61	Professional	TC	$238.73	$294.66	$452.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $177.72 / $235.83	Professional		$32.34	$177.72	$235.83
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 $284.19 / $356.33 / $461.97	Professional		$284.19	$356.33	$461.97
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $42.46 / $52.72 / $71.23	Professional	26	$42.46	$52.72	$71.23
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $241.74 / $304.27 / $390.74	Professional	TC	$241.74	$304.27	$390.74
United Facility/Professional Professional Modifier Low / Median / High Price $233.43 / $308.73 / $446.90	Professional		$233.43	$308.73	$446.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.20 / $46.20 / $66.00	Professional	26	$35.20	$46.20	$66.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $205.76 / $252.46 / $405.09	Professional	TC	$205.76	$252.46	$405.09