Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.67 / $14.67 / $14.67	Facility	26	$14.67	$14.67	$14.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.88 / $44.44 / $225.00	Professional		$36.88	$44.44	$225.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.52 / $14.67 / $29.47	Professional	26	$11.52	$14.67	$29.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.37 / $30.33 / $61.20	Professional	TC	$25.37	$30.33	$61.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.95 / $53.03 / $82.27	Professional		$39.95	$53.03	$82.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.36 / $17.67 / $29.22	Professional	26	$14.36	$17.67	$29.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.60 / $35.64 / $54.52	Professional	TC	$25.60	$35.64	$54.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $28.95 / $38.81	Professional		$22.14	$28.95	$38.81
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 $65.44 / $72.70 / $87.66	Professional		$65.44	$72.70	$87.66
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $20.32 / $25.46 / $29.21	Professional	26	$20.32	$25.46	$29.21
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $43.17 / $47.38 / $57.24	Professional	TC	$43.17	$47.38	$57.24
United Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $43.67 / $74.23	Professional		$39.29	$43.67	$74.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.95 / $15.16 / $25.02	Professional	26	$12.95	$15.16	$25.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.52 / $28.51 / $47.04	Professional	TC	$26.52	$28.51	$47.04