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 $38.49 / $48.34 / $248.68	Professional		$38.49	$48.34	$248.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.83 / $12.04 / $27.04	Professional	26	$9.83	$12.04	$27.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.33 / $36.31 / $64.48	Professional	TC	$28.33	$36.31	$64.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.37 / $56.12 / $94.63	Professional		$43.37	$56.12	$94.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.01 / $14.51 / $25.64	Professional	26	$12.01	$14.51	$25.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.35 / $42.27 / $68.98	Professional	TC	$31.35	$42.27	$68.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $29.37 / $39.23	Professional		$22.10	$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 $66.43 / $73.81 / $89.11	Professional		$66.43	$73.81	$89.11
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $17.35 / $20.77 / $23.45	Professional	26	$17.35	$20.77	$23.45
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $49.08 / $54.53 / $65.66	Professional	TC	$49.08	$54.53	$65.66
United Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $44.85 / $74.23	Professional		$40.15	$44.85	$74.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.49 / $12.63 / $20.84	Professional	26	$10.49	$12.63	$20.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.04 / $33.97 / $58.59	Professional	TC	$31.04	$33.97	$58.59