Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.11 / $21.11 / $21.11	Facility	26	$21.11	$21.11	$21.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.04 / $80.98 / $335.00	Professional		$54.04	$80.98	$335.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.98 / $21.11 / $40.94	Professional	26	$12.98	$21.11	$40.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.05 / $59.88 / $109.93	Professional	TC	$41.05	$59.88	$109.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.66 / $84.53 / $124.65	Professional		$67.66	$84.53	$124.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.41 / $22.93 / $31.46	Professional	26	$17.41	$22.93	$31.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.42 / $61.88 / $91.17	Professional	TC	$50.42	$61.88	$91.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.63 / $42.59 / $67.28	Professional		$24.63	$42.59	$67.28
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 $91.22 / $114.89 / $127.16	Professional		$91.22	$114.89	$127.16
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $21.31 / $26.70 / $36.20	Professional	26	$21.31	$26.70	$36.20
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $69.89 / $84.17 / $95.14	Professional	TC	$69.89	$84.17	$95.14
United Facility/Professional Professional Modifier Low / Median / High Price $60.27 / $67.39 / $111.23	Professional		$60.27	$67.39	$111.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.52 / $17.17 / $30.30	Professional	26	$15.52	$17.17	$30.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.75 / $50.37 / $83.14	Professional	TC	$44.75	$50.37	$83.14