Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $212.07 / $559.00 / $559.00	Facility	26	$212.07	$559.00	$559.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.75 / $300.86 / $540.20	Professional		$266.75	$300.86	$540.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $168.93 / $181.26 / $315.77	Professional	26	$168.93	$181.26	$315.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $94.51 / $115.98 / $129.86	Professional	TC	$94.51	$115.98	$129.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.28 / $427.25 / $778.64	Professional		$330.28	$427.25	$778.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $216.35 / $267.76 / $471.42	Professional	26	$216.35	$267.76	$471.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $118.62 / $157.19 / $215.35	Professional	TC	$118.62	$157.19	$215.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $188.12 / $291.11	Professional		$76.95	$188.12	$291.11
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 $326.66 / $447.56 / $612.94	Professional		$326.66	$447.56	$612.94
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $208.47 / $291.06 / $387.32	Professional	26	$208.47	$291.06	$387.32
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $118.19 / $155.41 / $225.65	Professional	TC	$118.19	$155.41	$225.65
United Facility/Professional Professional Modifier Low / Median / High Price $258.00 / $355.60 / $523.28	Professional		$258.00	$355.60	$523.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $167.09 / $230.60 / $332.32	Professional	26	$167.09	$230.60	$332.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $98.56 / $138.80 / $190.96	Professional	TC	$98.56	$138.80	$190.96