Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.35 / $20.35 / $20.35	Facility	26	$20.35	$20.35	$20.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.04 / $72.97 / $326.00	Professional		$54.04	$72.97	$326.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.69 / $20.35 / $41.13	Professional	26	$12.69	$20.35	$41.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.34 / $52.62 / $239.00	Professional	TC	$41.34	$52.62	$239.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.44 / $76.16 / $124.00	Professional		$64.44	$76.16	$124.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.03 / $22.97 / $31.46	Professional	26	$17.03	$22.97	$31.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $54.82 / $86.87	Professional	TC	$44.67	$54.82	$86.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.63 / $42.05 / $66.69	Professional		$24.63	$42.05	$66.69
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 $93.20 / $106.55 / $123.95	Professional		$93.20	$106.55	$123.95
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $21.31 / $26.08 / $39.95	Professional	26	$21.31	$26.08	$39.95
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $68.95 / $75.48 / $91.60	Professional	TC	$68.95	$75.48	$91.60
United Facility/Professional Professional Modifier Low / Median / High Price $56.78 / $67.61 / $120.24	Professional		$56.78	$67.61	$120.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.52 / $17.85 / $30.34	Professional	26	$15.52	$17.85	$30.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.16 / $47.75 / $84.84	Professional	TC	$42.16	$47.75	$84.84