Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $149.07 / $337.15 / $337.15	Facility	26	$149.07	$337.15	$337.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.86 / $230.61 / $411.55	Professional		$198.86	$230.61	$411.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.07 / $126.62 / $261.33	Professional	26	$118.07	$126.62	$261.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $76.20 / $91.70 / $102.67	Professional	TC	$76.20	$91.70	$102.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.17 / $323.05 / $574.34	Professional		$249.17	$323.05	$574.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $152.38 / $191.03 / $331.41	Professional	26	$152.38	$191.03	$331.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $109.92 / $129.78 / $237.79	Professional	TC	$109.92	$129.78	$237.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.96 / $126.41 / $228.39	Professional		$51.96	$126.41	$228.39
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $887.76 / $887.76 / $887.76	Facility	26	$887.76	$887.76	$887.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $242.12 / $352.50 / $449.51	Professional		$242.12	$352.50	$449.51
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $147.65 / $206.82 / $272.26	Professional	26	$147.65	$206.82	$272.26
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $94.48 / $139.32 / $177.24	Professional	TC	$94.48	$139.32	$177.24
United Facility/Professional Professional Modifier Low / Median / High Price $201.19 / $259.60 / $393.01	Professional		$201.19	$259.60	$393.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $114.30 / $167.63 / $228.60	Professional	26	$114.30	$167.63	$228.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $80.40 / $109.60 / $164.41	Professional	TC	$80.40	$109.60	$164.41