Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $119.36 / $617.48 / $736.02	Facility	26	$119.36	$617.48	$736.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.61 / $185.67 / $327.76	Professional		$164.61	$185.67	$327.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $96.18 / $109.06 / $219.25	Professional	26	$96.18	$109.06	$219.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.30 / $79.31 / $88.59	Professional	TC	$66.30	$79.31	$88.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.87 / $267.08 / $474.79	Professional		$209.87	$267.08	$474.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $121.98 / $153.32 / $252.01	Professional	26	$121.98	$153.32	$252.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.98 / $109.88 / $184.60	Professional	TC	$95.98	$109.88	$184.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.96 / $94.06 / $163.12	Professional		$51.96	$94.06	$163.12
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 $200.82 / $290.32 / $369.33	Professional		$200.82	$290.32	$369.33
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $118.19 / $165.78 / $217.75	Professional	26	$118.19	$165.78	$217.75
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $82.62 / $120.96 / $151.60	Professional	TC	$82.62	$120.96	$151.60
United Facility/Professional Professional Modifier Low / Median / High Price $173.12 / $230.18 / $327.77	Professional		$173.12	$230.18	$327.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.48 / $123.20 / $182.99	Professional	26	$95.48	$123.20	$182.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.54 / $94.19 / $141.19	Professional	TC	$72.54	$94.19	$141.19