Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.78 / $19.78 / $19.78	Facility	26	$19.78	$19.78	$19.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.64 / $71.64 / $320.00	Professional		$61.64	$71.64	$320.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.39 / $17.93 / $38.09	Professional	26	$15.39	$17.93	$38.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.00 / $53.20 / $121.39	Professional	TC	$46.00	$53.20	$121.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.80 / $91.60 / $149.56	Professional		$69.80	$91.60	$149.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.38 / $23.78 / $36.29	Professional	26	$19.38	$23.78	$36.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.42 / $68.78 / $112.03	Professional	TC	$50.42	$68.78	$112.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.20 / $57.90 / $77.63	Professional		$44.20	$57.90	$77.63
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 $117.98 / $131.09 / $145.94	Professional		$117.98	$131.09	$145.94
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $25.28 / $31.67 / $37.60	Professional	26	$25.28	$31.67	$37.60
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $92.70 / $98.61 / $107.20	Professional	TC	$92.70	$98.61	$107.20
United Facility/Professional Professional Modifier Low / Median / High Price $64.64 / $79.76 / $159.13	Professional		$64.64	$79.76	$159.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $18.77 / $31.50	Professional	26	$16.98	$18.77	$31.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.63 / $60.99 / $100.63	Professional	TC	$47.63	$60.99	$100.63