Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.87 / $116.87 / $116.87	Facility	26	$116.87	$116.87	$116.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.84 / $325.20 / $385.13	Professional		$238.84	$325.20	$385.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.15 / $99.27 / $116.87	Professional	26	$92.15	$99.27	$116.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $146.69 / $216.31 / $268.26	Professional	TC	$146.69	$216.31	$268.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.97 / $398.58 / $623.17	Professional		$303.97	$398.58	$623.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $117.77 / $142.13 / $240.33	Professional	26	$117.77	$142.13	$240.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $176.40 / $250.18 / $394.08	Professional	TC	$176.40	$250.18	$394.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.64 / $176.80 / $287.09	Professional		$80.64	$176.80	$287.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $336.60 / $442.65 / $795.24	Professional		$336.60	$442.65	$795.24
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $114.37 / $160.38 / $224.28	Professional	26	$114.37	$160.38	$224.28
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $222.24 / $289.05 / $593.37	Professional	TC	$222.24	$289.05	$593.37
United Facility/Professional Professional Modifier Low / Median / High Price $224.44 / $325.80 / $543.67	Professional		$224.44	$325.80	$543.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $88.20 / $121.43 / $174.49	Professional	26	$88.20	$121.43	$174.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $137.55 / $204.00 / $385.46	Professional	TC	$137.55	$204.00	$385.46