Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $152.85 / $152.85 / $152.85	Facility	26	$152.85	$152.85	$152.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $593.96 / $777.87 / $1,032.97	Professional		$593.96	$777.87	$1,032.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $114.29 / $141.65 / $532.63	Professional	26	$114.29	$141.65	$532.63
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $290.94 / $326.11 / $424.18	Professional	52	$290.94	$326.11	$424.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $472.44 / $618.41 / $719.63	Professional	TC	$472.44	$618.41	$719.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $746.70 / $1,017.94 / $1,694.93	Professional		$746.70	$1,017.94	$1,694.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $143.59 / $205.47 / $350.31	Professional	26	$143.59	$205.47	$350.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $590.77 / $811.89 / $1,344.62	Professional	TC	$590.77	$811.89	$1,344.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.13 / $461.13 / $659.86	Professional		$108.13	$461.13	$659.86
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 $748.56 / $973.61 / $1,299.38	Professional		$748.56	$973.61	$1,299.38
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $138.09 / $194.40 / $271.19	Professional	26	$138.09	$194.40	$271.19
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $610.47 / $786.57 / $1,028.18	Professional	TC	$610.47	$786.57	$1,028.18
United Facility/Professional Professional Modifier Low / Median / High Price $573.51 / $820.40 / $1,145.75	Professional		$573.51	$820.40	$1,145.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $107.40 / $158.41 / $223.20	Professional	26	$107.40	$158.41	$223.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $476.16 / $694.48 / $909.50	Professional	TC	$476.16	$694.48	$909.50