Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.29 / $50.29 / $50.29	Facility	26	$50.29	$50.29	$50.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.43 / $333.74 / $420.27	Professional		$292.43	$333.74	$420.27
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $161.57 / $168.71 / $210.14	Professional	52	$161.57	$168.71	$210.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $251.25 / $292.61 / $371.70	Professional	TC	$251.25	$292.61	$371.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.57 / $439.80 / $819.27	Professional		$377.57	$439.80	$819.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $322.56 / $377.31 / $711.48	Professional	TC	$322.56	$377.31	$711.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $287.31 / $385.24	Professional		$32.34	$287.31	$385.24
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 $418.12 / $513.53 / $653.28	Professional		$418.12	$513.53	$653.28
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $367.39 / $444.81 / $558.44	Professional	TC	$367.39	$444.81	$558.44
United Facility/Professional Professional Modifier Low / Median / High Price $306.27 / $415.90 / $543.41	Professional		$306.27	$415.90	$543.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $259.35 / $342.40 / $470.80	Professional	TC	$259.35	$342.40	$470.80