Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.42 / $18.42 / $18.42	Facility	26	$18.42	$18.42	$18.42
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $33.04 / $249.73 / $277.20	Facility	TC	$33.04	$249.73	$277.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.25 / $51.46 / $248.06	Professional		$39.25	$51.46	$248.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.08 / $18.42 / $80.12	Professional	26	$12.08	$18.42	$80.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.85 / $33.04 / $61.84	Professional	TC	$26.85	$33.04	$61.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.33 / $61.45 / $94.78	Professional		$46.33	$61.45	$94.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $21.62 / $31.75	Professional	26	$15.85	$21.62	$31.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.47 / $41.39 / $65.51	Professional	TC	$28.47	$41.39	$65.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $29.37 / $39.23	Professional		$22.48	$29.37	$39.23
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 Facility Modifier TC Low / Median / High Price $198.33 / $198.33 / $198.33	Facility	TC	$198.33	$198.33	$198.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $66.43 / $83.21 / $94.35	Professional		$66.43	$83.21	$94.35
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $19.82 / $24.84 / $36.65	Professional	26	$19.82	$24.84	$36.65
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $46.60 / $51.78 / $62.98	Professional	TC	$46.60	$51.78	$62.98
United Facility/Professional Professional Modifier Low / Median / High Price $44.75 / $47.57 / $79.77	Professional		$44.75	$47.57	$79.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.80 / $16.64 / $24.61	Professional	26	$14.80	$16.64	$24.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.36 / $30.92 / $52.24	Professional	TC	$28.36	$30.92	$52.24