Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.29 / $17.29 / $17.29	Facility	26	$17.29	$17.29	$17.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.98 / $57.23 / $288.38	Professional		$45.98	$57.23	$288.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.58 / $17.29 / $64.69	Professional	26	$13.58	$17.29	$64.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.38 / $39.93 / $73.75	Professional	TC	$32.38	$39.93	$73.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.93 / $63.72 / $105.03	Professional		$50.93	$63.72	$105.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.13 / $20.94 / $32.97	Professional	26	$16.13	$20.94	$32.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.86 / $41.87 / $69.23	Professional	TC	$33.86	$41.87	$69.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $28.95 / $38.81	Professional		$22.48	$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 $78.33 / $89.45 / $105.73	Professional		$78.33	$89.45	$105.73
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $22.81 / $27.95 / $34.43	Professional	26	$22.81	$27.95	$34.43
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $55.52 / $60.64 / $75.04	Professional	TC	$55.52	$60.64	$75.04
United Facility/Professional Professional Modifier Low / Median / High Price $48.81 / $52.44 / $89.33	Professional		$48.81	$52.44	$89.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.40 / $16.60 / $28.22	Professional	26	$15.40	$16.60	$28.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.54 / $35.36 / $58.80	Professional	TC	$33.54	$35.36	$58.80