Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $91.11 / $328.31	Facility		$15.00	$91.11	$328.31
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.04 / $12.04 / $12.04	Facility	26	$12.04	$12.04	$12.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $35.61 / $158.01	Professional		$19.10	$35.61	$158.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.65 / $12.04 / $39.61	Professional	26	$9.65	$12.04	$39.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.91 / $24.65 / $53.37	Professional	TC	$21.91	$24.65	$53.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.31 / $113.03 / $357.81	Facility		$35.31	$113.03	$357.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.21 / $42.20 / $72.12	Professional		$32.21	$42.20	$72.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.44 / $14.74 / $22.52	Professional	26	$11.44	$14.74	$22.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.20 / $29.32 / $47.70	Professional	TC	$20.20	$29.32	$47.70
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 Low / Median / High Price $133.81 / $174.89 / $251.95	Facility		$133.81	$174.89	$251.95
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 $54.53 / $60.59 / $70.52	Professional		$54.53	$60.59	$70.52
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $15.36 / $19.87 / $24.00	Professional	26	$15.36	$19.87	$24.00
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $36.81 / $41.13 / $46.78	Professional	TC	$36.81	$41.13	$46.78
United Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $36.09 / $59.55	Professional		$32.61	$36.09	$59.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.54 / $11.55 / $19.05	Professional	26	$10.54	$11.55	$19.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.74 / $24.54 / $40.49	Professional	TC	$21.74	$24.54	$40.49