Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $146.12 / $146.12 / $146.12	Facility	26	$146.12	$146.12	$146.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $568.95 / $720.28 / $837.53	Professional		$568.95	$720.28	$837.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.13 / $133.34 / $524.60	Professional	26	$110.13	$133.34	$524.60
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $277.07 / $339.88 / $393.10	Professional	52	$277.07	$339.88	$393.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $451.13 / $602.07 / $662.27	Professional	TC	$451.13	$602.07	$662.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $714.78 / $961.41 / $1,616.80	Professional		$714.78	$961.41	$1,616.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $137.66 / $198.02 / $337.64	Professional	26	$137.66	$198.02	$337.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $564.52 / $741.54 / $1,279.15	Professional	TC	$564.52	$741.54	$1,279.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.13 / $433.40 / $626.87	Professional		$108.13	$433.40	$626.87
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,674.07 / $1,674.07 / $1,674.07	Facility	26	$1,674.07	$1,674.07	$1,674.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $716.04 / $931.32 / $1,238.83	Professional		$716.04	$931.32	$1,238.83
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $132.72 / $186.84 / $260.57	Professional	26	$132.72	$186.84	$260.57
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $583.32 / $748.36 / $978.26	Professional	TC	$583.32	$748.36	$978.26
United Facility/Professional Professional Modifier Low / Median / High Price $562.88 / $808.86 / $1,168.20	Professional		$562.88	$808.86	$1,168.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $110.72 / $169.54 / $208.18	Professional	26	$110.72	$169.54	$208.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $452.16 / $664.99 / $963.34	Professional	TC	$452.16	$664.99	$963.34