Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.76 / $334.84 / $366.91	Facility	26	$63.76	$334.84	$366.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.81 / $351.07 / $538.03	Professional		$302.81	$351.07	$538.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.33 / $58.00 / $112.56	Professional	26	$51.33	$58.00	$112.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $251.27 / $287.89 / $376.24	Professional	TC	$251.27	$287.89	$376.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.92 / $470.64 / $831.24	Professional		$294.92	$470.64	$831.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.54 / $78.19 / $134.58	Professional	26	$65.54	$78.19	$134.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $225.05 / $394.36 / $649.41	Professional	TC	$225.05	$394.36	$649.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.14 / $272.47 / $373.73	Professional		$53.14	$272.47	$373.73
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 $439.64 / $538.91 / $704.45	Professional		$439.64	$538.91	$704.45
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $63.88 / $89.10 / $122.18	Professional	26	$63.88	$89.10	$122.18
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $376.23 / $455.63 / $582.28	Professional	TC	$376.23	$455.63	$582.28
United Facility/Professional Professional Modifier Low / Median / High Price $254.69 / $412.00 / $594.00	Professional		$254.69	$412.00	$594.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.21 / $65.61 / $96.00	Professional	26	$49.21	$65.61	$96.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $206.00 / $346.39 / $498.00	Professional	TC	$206.00	$346.39	$498.00