Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.61 / $467.20 / $548.72	Facility	26	$100.61	$467.20	$548.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.94 / $402.57 / $499.02	Professional		$346.94	$402.57	$499.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.18 / $89.44 / $191.54	Professional	26	$78.18	$89.44	$191.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $265.87 / $313.13 / $407.24	Professional	TC	$265.87	$313.13	$407.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.75 / $548.62 / $859.34	Professional		$386.75	$548.62	$859.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.10 / $124.45 / $205.64	Professional	26	$99.10	$124.45	$205.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $275.14 / $452.77 / $665.99	Professional	TC	$275.14	$452.77	$665.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.64 / $318.38 / $452.85	Professional		$80.64	$318.38	$452.85
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $481.30 / $481.30 / $481.30	Facility	26	$481.30	$481.30	$481.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $508.73 / $693.49 / $908.42	Professional		$508.73	$693.49	$908.42
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $96.39 / $135.41 / $189.02	Professional	26	$96.39	$135.41	$189.02
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $396.59 / $558.08 / $733.13	Professional	TC	$396.59	$558.08	$733.13
United Facility/Professional Professional Modifier Low / Median / High Price $334.95 / $503.37 / $694.31	Professional		$334.95	$503.37	$694.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.70 / $108.08 / $147.78	Professional	26	$74.70	$108.08	$147.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $201.02 / $362.39 / $566.91	Professional	TC	$201.02	$362.39	$566.91