Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.41 / $9.41 / $9.41	Facility	26	$9.41	$9.41	$9.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $31.64 / $165.00	Professional		$25.85	$31.64	$165.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $9.41 / $44.00	Professional	26	$7.33	$9.41	$44.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $59.24 / $59.24 / $59.24	Professional	50	$59.24	$59.24	$59.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.94 / $21.80 / $46.63	Professional	TC	$19.94	$21.80	$46.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $37.33 / $61.17	Professional		$28.07	$37.33	$61.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.26 / $11.40 / $17.82	Professional	26	$9.26	$11.40	$17.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.76 / $25.18 / $43.73	Professional	TC	$18.76	$25.18	$43.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $28.89 / $38.52	Professional		$22.02	$28.89	$38.52
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $147.24 / $147.24 / $147.24	Facility	26	$147.24	$147.24	$147.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.58 / $53.98 / $62.87	Professional		$48.58	$53.98	$62.87
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $12.39 / $16.07 / $18.07	Professional	26	$12.39	$16.07	$18.07
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $35.24 / $37.90 / $44.09	Professional	TC	$35.24	$37.90	$44.09
United Facility/Professional Professional Modifier Low / Median / High Price $27.93 / $31.40 / $51.81	Professional		$27.93	$31.40	$51.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.17 / $8.66 / $14.40	Professional	26	$8.17	$8.66	$14.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.38 / $22.74 / $37.56	Professional	TC	$19.38	$22.74	$37.56