Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.53 / $10.53 / $49.36	Facility	26	$10.53	$10.53	$49.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $42.83 / $186.00	Professional		$32.86	$42.83	$186.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.73 / $12.47 / $46.00	Professional	26	$8.73	$12.47	$46.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.88 / $28.65 / $127.89	Professional	TC	$23.88	$28.65	$127.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $45.14 / $72.25	Professional		$33.90	$45.14	$72.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.46 / $12.69 / $20.56	Professional	26	$10.46	$12.69	$20.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $32.44 / $51.69	Professional	TC	$23.44	$32.44	$51.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $28.89 / $38.81	Professional		$22.10	$28.89	$38.81
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 $58.49 / $64.98 / $74.73	Professional		$58.49	$64.98	$74.73
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $15.87 / $18.51 / $21.16	Professional	26	$15.87	$18.51	$21.16
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $42.63 / $45.88 / $53.57	Professional	TC	$42.63	$45.88	$53.57
United Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $38.61 / $63.72	Professional		$34.17	$38.61	$63.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.19 / $11.91 / $19.64	Professional	26	$9.19	$11.91	$19.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.04 / $26.71 / $44.07	Professional	TC	$24.04	$26.71	$44.07