Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.69 / $73.69 / $73.69	Facility	26	$73.69	$73.69	$73.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.84 / $445.38 / $538.65	Professional		$354.84	$445.38	$538.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.38 / $65.43 / $73.69	Professional	26	$55.38	$65.43	$73.69
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $177.42 / $218.32 / $265.73	Professional	52	$177.42	$218.32	$265.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $299.45 / $378.40 / $473.22	Professional	TC	$299.45	$378.40	$473.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.90 / $614.57 / $1,128.58	Professional		$475.90	$614.57	$1,128.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.73 / $99.65 / $171.04	Professional	26	$68.73	$99.65	$171.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $403.26 / $518.92 / $956.21	Professional	TC	$403.26	$518.92	$956.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $315.41 / $426.97	Professional		$32.34	$315.41	$426.97
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 $470.48 / $687.84 / $934.58	Professional		$470.48	$687.84	$934.58
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $66.56 / $95.58 / $132.57	Professional	26	$66.56	$95.58	$132.57
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $403.92 / $591.44 / $800.63	Professional	TC	$403.92	$591.44	$800.63
United Facility/Professional Professional Modifier Low / Median / High Price $388.97 / $533.52 / $861.84	Professional		$388.97	$533.52	$861.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.25 / $77.00 / $109.20	Professional	26	$54.25	$77.00	$109.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $301.94 / $457.77 / $634.67	Professional	TC	$301.94	$457.77	$634.67