Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.67 / $16.87 / $81.61	Facility	26	$14.67	$16.87	$81.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.37 / $44.95 / $163.22	Professional		$22.37	$44.95	$163.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $14.90 / $57.37	Professional	26	$11.48	$14.90	$57.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.72 / $30.07 / $63.21	Professional	TC	$24.72	$30.07	$63.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $49.08 / $79.73	Professional		$38.86	$49.08	$79.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.68 / $17.67 / $27.69	Professional	26	$13.68	$17.67	$27.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.52 / $33.40 / $53.32	Professional	TC	$24.52	$33.40	$53.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $28.95 / $39.04	Professional		$22.14	$28.95	$39.04
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 Professional Modifier Low / Median / High Price $62.96 / $69.95 / $84.42	Professional		$62.96	$69.95	$84.42
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $18.84 / $23.60 / $28.52	Professional	26	$18.84	$23.60	$28.52
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $41.84 / $46.34 / $55.76	Professional	TC	$41.84	$46.34	$55.76
United Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $41.50 / $68.48	Professional		$37.79	$41.50	$68.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.92 / $13.71 / $22.79	Professional	26	$12.92	$13.71	$22.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.56 / $27.79 / $45.85	Professional	TC	$25.56	$27.79	$45.85