Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.77 / $9.77 / $9.77	Facility	26	$9.77	$9.77	$9.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.03 / $33.75 / $168.00	Professional		$28.03	$33.75	$168.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.53 / $9.77 / $19.07	Professional	26	$7.53	$9.77	$19.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.22 / $24.29 / $50.76	Professional	TC	$20.22	$24.29	$50.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $39.79 / $65.06	Professional		$29.51	$39.79	$65.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.90 / $11.43 / $17.78	Professional	26	$8.90	$11.43	$17.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.20 / $28.74 / $45.61	Professional	TC	$20.20	$28.74	$45.61
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 $48.09 / $56.19 / $64.98	Professional		$48.09	$56.19	$64.98
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $12.39 / $15.53 / $18.77	Professional	26	$12.39	$15.53	$18.77
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $35.69 / $39.65 / $46.26	Professional	TC	$35.69	$39.65	$46.26
United Facility/Professional Professional Modifier Low / Median / High Price $29.52 / $31.40 / $52.82	Professional		$29.52	$31.40	$52.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.17 / $9.02 / $15.00	Professional	26	$8.17	$9.02	$15.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.08 / $22.56 / $40.72	Professional	TC	$21.08	$22.56	$40.72