Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.62 / $15.62 / $15.62	Facility	26	$15.62	$15.62	$15.62
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.26 / $174.00 / $228.23	Facility	TC	$26.26	$174.00	$228.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $41.88 / $223.00	Professional		$35.40	$41.88	$223.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $15.29 / $28.38	Professional	26	$11.48	$15.29	$28.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.89 / $26.26 / $57.87	Professional	TC	$22.89	$26.26	$57.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.67 / $53.33 / $86.25	Professional		$40.67	$53.33	$86.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.44 / $19.39 / $29.55	Professional	26	$15.44	$19.39	$29.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.24 / $33.22 / $55.68	Professional	TC	$25.24	$33.22	$55.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.92 / $29.53 / $39.23	Professional		$22.92	$29.53	$39.23
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 Facility Modifier TC Low / Median / High Price $147.24 / $147.24 / $147.24	Facility	TC	$147.24	$147.24	$147.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $62.96 / $70.43 / $79.59	Professional		$62.96	$70.43	$79.59
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $19.32 / $23.60 / $29.94	Professional	26	$19.32	$23.60	$29.94
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $43.62 / $48.47 / $50.91	Professional	TC	$43.62	$48.47	$50.91
United Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $41.86 / $69.29	Professional		$37.40	$41.86	$69.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.59 / $14.32 / $23.39	Professional	26	$13.59	$14.32	$23.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $27.79 / $45.85	Professional	TC	$23.82	$27.79	$45.85