Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.72 / $86.36 / $86.59	Facility	26	$17.72	$86.36	$86.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.71 / $67.61 / $213.00	Professional		$47.71	$67.61	$213.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.77 / $20.18 / $60.00	Professional	26	$11.77	$20.18	$60.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.09 / $42.47 / $136.00	Professional	TC	$34.09	$42.47	$136.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.30 / $62.96 / $113.55	Professional		$51.30	$62.96	$113.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.44 / $20.30 / $29.73	Professional	26	$15.44	$20.30	$29.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.22 / $46.40 / $85.12	Professional	TC	$34.22	$46.40	$85.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $29.37 / $39.23	Professional		$22.48	$29.37	$39.23
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 $79.81 / $88.68 / $104.37	Professional		$79.81	$88.68	$104.37
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $18.84 / $24.22 / $33.86	Professional	26	$18.84	$24.22	$33.86
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $55.61 / $63.06 / $70.08	Professional	TC	$55.61	$63.06	$70.08
United Facility/Professional Professional Modifier Low / Median / High Price $48.23 / $52.54 / $89.89	Professional		$48.23	$52.54	$89.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.07 / $15.97 / $25.85	Professional	26	$14.07	$15.97	$25.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.00 / $37.18 / $63.01	Professional	TC	$34.00	$37.18	$63.01