Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.54 / $13.54 / $13.54	Facility	26	$13.54	$13.54	$13.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $44.25 / $215.00	Professional		$36.79	$44.25	$215.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.58 / $13.54 / $45.77	Professional	26	$10.58	$13.54	$45.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.97 / $31.24 / $158.00	Professional	TC	$26.97	$31.24	$158.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $50.85 / $83.15	Professional		$38.79	$50.85	$83.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.57 / $16.64 / $25.37	Professional	26	$12.57	$16.64	$25.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.24 / $34.72 / $57.51	Professional	TC	$25.24	$34.72	$57.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $28.89 / $38.81	Professional		$22.10	$28.89	$38.81
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $198.33 / $198.33 / $198.33	Facility	26	$198.33	$198.33	$198.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $64.94 / $72.15 / $85.35	Professional		$64.94	$72.15	$85.35
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $17.35 / $21.74 / $26.98	Professional	26	$17.35	$21.74	$26.98
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $46.47 / $49.99 / $58.81	Professional	TC	$46.47	$49.99	$58.81
United Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $42.95 / $70.87	Professional		$38.47	$42.95	$70.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.90 / $12.99 / $21.60	Professional	26	$11.90	$12.99	$21.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.91 / $29.96 / $49.43	Professional	TC	$26.91	$29.96	$49.43