Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.41 / $15.41 / $15.41	Facility	26	$15.41	$15.41	$15.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $48.84 / $252.00	Professional		$40.74	$48.84	$252.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.08 / $15.41 / $45.77	Professional	26	$12.08	$15.41	$45.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.50 / $34.14 / $69.12	Professional	TC	$29.50	$34.14	$69.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.23 / $57.16 / $92.59	Professional		$43.23	$57.16	$92.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.33 / $18.55 / $28.49	Professional	26	$14.33	$18.55	$28.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.11 / $38.85 / $62.30	Professional	TC	$28.11	$38.85	$62.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $28.95 / $38.81	Professional		$22.14	$28.95	$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 $71.39 / $79.95 / $93.58	Professional		$71.39	$79.95	$93.58
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $19.82 / $24.84 / $29.96	Professional	26	$19.82	$24.84	$29.96
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $51.55 / $55.02 / $64.06	Professional	TC	$51.55	$55.02	$64.06
United Facility/Professional Professional Modifier Low / Median / High Price $42.71 / $47.28 / $78.01	Professional		$42.71	$47.28	$78.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.30 / $14.44 / $24.24	Professional	26	$13.30	$14.44	$24.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.42 / $32.84 / $54.18	Professional	TC	$29.42	$32.84	$54.18