Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.90 / $10.90 / $10.90	Facility	26	$10.90	$10.90	$10.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.95 / $33.06 / $166.00	Professional		$26.95	$33.06	$166.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.52 / $10.90 / $22.31	Professional	26	$8.52	$10.90	$22.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.80 / $22.16 / $43.98	Professional	TC	$18.80	$22.16	$43.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.22 / $40.25 / $65.06	Professional		$29.22	$40.25	$65.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.10 / $12.57 / $20.46	Professional	26	$10.10	$12.57	$20.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.12 / $26.59 / $42.12	Professional	TC	$19.12	$26.59	$42.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $28.89 / $38.52	Professional		$22.10	$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 $47.59 / $56.28 / $64.31	Professional		$47.59	$56.28	$64.31
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $13.88 / $18.01 / $22.41	Professional	26	$13.88	$18.01	$22.41
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $33.71 / $37.45 / $41.87	Professional	TC	$33.71	$37.45	$41.87
United Facility/Professional Professional Modifier Low / Median / High Price $29.52 / $31.83 / $52.40	Professional		$29.52	$31.83	$52.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.11 / $10.47 / $17.28	Professional	26	$9.11	$10.47	$17.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.38 / $21.29 / $35.27	Professional	TC	$19.38	$21.29	$35.27