Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
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 $34.83 / $40.72 / $215.00	Professional		$34.83	$40.72	$215.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.69 / $11.65 / $22.20	Professional	26	$8.69	$11.65	$22.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.13 / $28.69 / $61.18	Professional	TC	$26.13	$28.69	$61.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.89 / $48.67 / $79.30	Professional		$36.89	$48.67	$79.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.07 / $14.74 / $22.52	Professional	26	$11.07	$14.74	$22.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.88 / $34.70 / $55.71	Professional	TC	$24.88	$34.70	$55.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $28.89 / $38.81	Professional		$22.10	$28.89	$38.81
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 $61.47 / $68.54 / $80.04	Professional		$61.47	$68.54	$80.04
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $15.36 / $19.25 / $24.88	Professional	26	$15.36	$19.25	$24.88
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $45.13 / $48.42 / $56.54	Professional	TC	$45.13	$48.42	$56.54
United Facility/Professional Professional Modifier Low / Median / High Price $36.38 / $40.42 / $67.20	Professional		$36.38	$40.42	$67.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.40 / $11.55 / $19.05	Professional	26	$10.40	$11.55	$19.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.20 / $28.87 / $47.63	Professional	TC	$25.20	$28.87	$47.63