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 $33.06 / $42.23 / $201.00	Professional		$33.06	$42.23	$201.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.36 / $13.54 / $61.00	Professional	26	$9.36	$13.54	$61.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.70 / $28.69 / $60.32	Professional	TC	$23.70	$28.69	$60.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.08 / $50.42 / $77.13	Professional		$38.08	$50.42	$77.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.29 / $16.11 / $22.70	Professional	26	$12.29	$16.11	$22.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.88 / $34.35 / $52.22	Professional	TC	$24.88	$34.35	$52.22
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 $147.24 / $147.24 / $147.24	Facility	26	$147.24	$147.24	$147.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $56.02 / $70.17 / $76.90	Professional		$56.02	$70.17	$76.90
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $15.36 / $19.25 / $26.98	Professional	26	$15.36	$19.25	$26.98
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $40.65 / $45.17 / $54.94	Professional	TC	$40.65	$45.17	$54.94
United Facility/Professional Professional Modifier Low / Median / High Price $37.17 / $39.07 / $67.41	Professional		$37.17	$39.07	$67.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.55 / $12.25 / $20.22	Professional	26	$11.55	$12.25	$20.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.70 / $26.84 / $43.55	Professional	TC	$24.70	$26.84	$43.55