Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.95 / $17.95 / $17.95	Facility	26	$17.95	$17.95	$17.95
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $27.01 / $27.01 / $278.83	Facility	TC	$27.01	$27.01	$278.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.03 / $45.05 / $249.00	Professional		$38.03	$45.05	$249.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.29 / $16.69 / $90.01	Professional	26	$13.29	$16.69	$90.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.53 / $27.17 / $61.84	Professional	TC	$23.53	$27.17	$61.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.70 / $57.28 / $92.46	Professional		$43.70	$57.28	$92.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.44 / $22.41 / $33.54	Professional	26	$17.44	$22.41	$33.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.96 / $35.08 / $57.27	Professional	TC	$25.96	$35.08	$57.27
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 $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 $67.91 / $77.13 / $85.49	Professional		$67.91	$77.13	$85.49
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $21.31 / $27.32 / $34.42	Professional	26	$21.31	$27.32	$34.42
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $46.60 / $51.07 / $52.83	Professional	TC	$46.60	$51.07	$52.83
United Facility/Professional Professional Modifier Low / Median / High Price $40.09 / $45.47 / $75.03	Professional		$40.09	$45.47	$75.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.63 / $16.60 / $27.60	Professional	26	$15.63	$16.60	$27.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.50 / $28.87 / $48.00	Professional	TC	$24.50	$28.87	$48.00