Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.34 / $311.48 / $328.33	Facility	26	$63.34	$311.48	$328.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.55 / $372.53 / $590.09	Professional		$319.55	$372.53	$590.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.40 / $56.46 / $126.91	Professional	26	$50.40	$56.46	$126.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $268.39 / $316.07 / $448.37	Professional	TC	$268.39	$316.07	$448.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.26 / $536.74 / $1,029.22	Professional		$323.26	$536.74	$1,029.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.54 / $78.04 / $135.35	Professional	26	$65.54	$78.04	$135.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $253.38 / $447.78 / $777.69	Professional	TC	$253.38	$447.78	$777.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.14 / $321.46 / $441.33	Professional		$53.14	$321.46	$441.33
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 $509.97 / $626.50 / $781.26	Professional		$509.97	$626.50	$781.26
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $63.88 / $89.10 / $121.31	Professional	26	$63.88	$89.10	$121.31
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $446.55 / $547.89 / $663.19	Professional	TC	$446.55	$547.89	$663.19
United Facility/Professional Professional Modifier Low / Median / High Price $257.87 / $441.38 / $672.65	Professional		$257.87	$441.38	$672.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.43 / $74.26 / $96.33	Professional	26	$51.43	$74.26	$96.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $231.20 / $408.86 / $581.90	Professional	TC	$231.20	$408.86	$581.90