Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.97 / $71.97 / $71.97	Facility	26	$71.97	$71.97	$71.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.69 / $439.25 / $534.29	Professional		$386.69	$439.25	$534.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.33 / $58.84 / $114.18	Professional	26	$54.33	$58.84	$114.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $332.36 / $370.12 / $468.08	Professional	TC	$332.36	$370.12	$468.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.74 / $566.07 / $956.16	Professional		$475.74	$566.07	$956.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.62 / $98.88 / $164.21	Professional	26	$66.62	$98.88	$164.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $376.18 / $480.58 / $816.41	Professional	TC	$376.18	$480.58	$816.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $331.00 / $441.33	Professional		$32.34	$331.00	$441.33
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $887.76 / $887.76 / $887.76	Facility	26	$887.76	$887.76	$887.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $495.72 / $642.29 / $839.60	Professional		$495.72	$642.29	$839.60
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $64.26 / $90.72 / $126.31	Professional	26	$64.26	$90.72	$126.31
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $431.46 / $545.65 / $713.27	Professional	TC	$431.46	$545.65	$713.27
United Facility/Professional Professional Modifier Low / Median / High Price $345.13 / $526.32 / $736.20	Professional		$345.13	$526.32	$736.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.72 / $78.95 / $104.16	Professional	26	$48.72	$78.95	$104.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $320.60 / $448.01 / $595.28	Professional	TC	$320.60	$448.01	$595.28