Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.15 / $10.15 / $10.15	Facility	26	$10.15	$10.15	$10.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.87 / $35.94 / $188.00	Professional		$29.87	$35.94	$188.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.84 / $10.15 / $50.00	Professional	26	$7.84	$10.15	$50.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.94 / $25.79 / $58.54	Professional	TC	$21.94	$25.79	$58.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.62 / $43.02 / $72.29	Professional		$30.62	$43.02	$72.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.26 / $11.93 / $18.51	Professional	26	$9.26	$11.93	$18.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.92 / $31.33 / $54.52	Professional	TC	$20.92	$31.33	$54.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $28.89 / $38.81	Professional		$22.02	$28.89	$38.81
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 $58.00 / $64.44 / $73.93	Professional		$58.00	$64.44	$73.93
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $12.89 / $16.14 / $19.55	Professional	26	$12.89	$16.14	$19.55
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $43.82 / $47.38 / $55.04	Professional	TC	$43.82	$47.38	$55.04
United Facility/Professional Professional Modifier Low / Median / High Price $33.29 / $37.17 / $61.80	Professional		$33.29	$37.17	$61.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.75 / $9.38 / $15.60	Professional	26	$8.75	$9.38	$15.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.05 / $27.79 / $45.85	Professional	TC	$24.05	$27.79	$45.85