Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.52 / $13.52 / $13.52	Facility	26	$13.52	$13.52	$13.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.96 / $53.98 / $278.00	Professional		$44.96	$53.98	$278.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.11 / $13.52 / $61.00	Professional	26	$10.11	$13.52	$61.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.40 / $41.31 / $84.70	Professional	TC	$35.40	$41.31	$84.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.96 / $61.66 / $103.93	Professional		$45.96	$61.66	$103.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.19 / $16.16 / $24.89	Professional	26	$12.19	$16.16	$24.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.79 / $45.51 / $76.41	Professional	TC	$32.79	$45.51	$76.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $28.95 / $38.81	Professional		$22.10	$28.95	$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 $78.81 / $89.17 / $104.29	Professional		$78.81	$89.17	$104.29
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $16.86 / $21.11 / $27.81	Professional	26	$16.86	$21.11	$27.81
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $61.97 / $66.95 / $78.25	Professional	TC	$61.97	$66.95	$78.25
United Facility/Professional Professional Modifier Low / Median / High Price $46.74 / $52.33 / $86.34	Professional		$46.74	$52.33	$86.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.90 / $12.92 / $20.84	Professional	26	$11.90	$12.92	$20.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.36 / $39.70 / $65.50	Professional	TC	$35.36	$39.70	$65.50