Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.72 / $34.97 / $86.59	Facility	26	$17.72	$34.97	$86.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.84 / $61.53 / $217.65	Professional		$47.84	$61.53	$217.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.68 / $20.30 / $53.28	Professional	26	$11.68	$20.30	$53.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.85 / $42.83 / $80.36	Professional	TC	$34.85	$42.83	$80.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.46 / $66.51 / $110.02	Professional		$53.46	$66.51	$110.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.04 / $19.76 / $28.83	Professional	26	$15.04	$19.76	$28.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.39 / $44.78 / $82.93	Professional	TC	$36.39	$44.78	$82.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $29.37 / $39.23	Professional		$22.48	$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 $77.33 / $92.46 / $102.51	Professional		$77.33	$92.46	$102.51
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $18.34 / $22.98 / $34.75	Professional	26	$18.34	$22.98	$34.75
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $59.00 / $64.17 / $71.59	Professional	TC	$59.00	$64.17	$71.59
United Facility/Professional Professional Modifier Low / Median / High Price $48.83 / $51.80 / $84.84	Professional		$48.83	$51.80	$84.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.35 / $15.05 / $25.85	Professional	26	$13.35	$15.05	$25.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.95 / $35.74 / $61.95	Professional	TC	$33.95	$35.74	$61.95