Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $178.85 / $325.92 / $325.92	Facility	26	$178.85	$325.92	$325.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.57 / $259.91 / $462.00	Professional		$230.57	$259.91	$462.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $142.35 / $158.68 / $266.30	Professional	26	$142.35	$158.68	$266.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $85.48 / $103.76 / $116.17	Professional	TC	$85.48	$103.76	$116.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.99 / $368.31 / $672.09	Professional		$281.99	$368.31	$672.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $182.40 / $226.97 / $374.60	Professional	26	$182.40	$226.97	$374.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $111.91 / $142.51 / $232.99	Professional	TC	$111.91	$142.51	$232.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $126.50 / $230.95	Professional		$76.95	$126.50	$230.95
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 $283.05 / $394.28 / $528.99	Professional		$283.05	$394.28	$528.99
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $176.34 / $245.70 / $326.94	Professional	26	$176.34	$245.70	$326.94
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $106.72 / $146.63 / $202.04	Professional	TC	$106.72	$146.63	$202.04
United Facility/Professional Professional Modifier Low / Median / High Price $222.90 / $306.81 / $455.70	Professional		$222.90	$306.81	$455.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $140.74 / $187.22 / $280.88	Professional	26	$140.74	$187.22	$280.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $86.70 / $124.00 / $184.60	Professional	TC	$86.70	$124.00	$184.60