Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.06 / $15.06 / $15.06	Facility	26	$15.06	$15.06	$15.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.68 / $45.75 / $208.00	Professional		$35.68	$45.75	$208.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.26 / $15.06 / $30.57	Professional	26	$11.26	$15.06	$30.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.26 / $27.51 / $146.00	Professional	TC	$23.26	$27.51	$146.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.32 / $51.62 / $85.36	Professional		$40.32	$51.62	$85.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.66 / $18.07 / $28.19	Professional	26	$14.66	$18.07	$28.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.60 / $34.70 / $56.48	Professional	TC	$25.60	$34.70	$56.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $29.37 / $39.23	Professional		$22.14	$29.37	$39.23
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 $63.45 / $74.05 / $82.18	Professional		$63.45	$74.05	$82.18
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $18.34 / $22.98 / $28.63	Professional	26	$18.34	$22.98	$28.63
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $45.11 / $50.10 / $53.73	Professional	TC	$45.11	$50.10	$53.73
United Facility/Professional Professional Modifier Low / Median / High Price $37.07 / $42.22 / $69.66	Professional		$37.07	$42.22	$69.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.91 / $13.71 / $22.62	Professional	26	$12.91	$13.71	$22.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.13 / $28.51 / $47.40	Professional	TC	$24.13	$28.51	$47.40