Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.18 / $18.18 / $80.54	Facility	26	$18.18	$18.18	$80.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.76 / $73.29 / $330.00	Professional		$56.76	$73.29	$330.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.57 / $19.85 / $66.40	Professional	26	$13.57	$19.85	$66.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.39 / $50.05 / $112.54	Professional	TC	$42.39	$50.05	$112.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.26 / $81.65 / $131.88	Professional		$64.26	$81.65	$131.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.79 / $21.83 / $34.22	Professional	26	$17.79	$21.83	$34.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.47 / $62.62 / $102.72	Professional	TC	$46.47	$62.62	$102.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.20 / $57.90 / $77.47	Professional		$44.20	$57.90	$77.47
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 $104.60 / $118.01 / $130.94	Professional		$104.60	$118.01	$130.94
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $22.31 / $27.95 / $34.54	Professional	26	$22.31	$27.95	$34.54
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $82.29 / $90.87 / $97.46	Professional	TC	$82.29	$90.87	$97.46
United Facility/Professional Professional Modifier Low / Median / High Price $59.46 / $68.56 / $113.14	Professional		$59.46	$68.56	$113.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.63 / $16.60 / $27.60	Professional	26	$15.63	$16.60	$27.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.83 / $51.97 / $85.75	Professional	TC	$43.83	$51.97	$85.75