Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.02 / $9.02 / $9.02	Facility	26	$9.02	$9.02	$9.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.53 / $33.89 / $126.75	Professional		$13.53	$33.89	$126.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.23 / $13.53 / $39.60	Professional	26	$7.23	$13.53	$39.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $86.52 / $86.52 / $86.52	Professional	50	$86.52	$86.52	$86.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.84 / $24.29 / $47.74	Professional	TC	$18.84	$24.29	$47.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.08 / $37.40 / $67.25	Professional		$28.08	$37.40	$67.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.49 / $11.44 / $17.52	Professional	26	$8.49	$11.44	$17.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.76 / $26.59 / $49.42	Professional	TC	$18.76	$26.59	$49.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $28.95 / $38.52	Professional		$22.02	$28.95	$38.52
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $147.24 / $147.24 / $147.24	Facility	26	$147.24	$147.24	$147.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.58 / $53.98 / $62.09	Professional		$48.58	$53.98	$62.09
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $11.90 / $14.90 / $18.91	Professional	26	$11.90	$14.90	$18.91
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $35.24 / $38.45 / $44.51	Professional	TC	$35.24	$38.45	$44.51
United Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $33.20 / $52.40	Professional		$27.99	$33.20	$52.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.79 / $8.66 / $14.40	Professional	26	$7.79	$8.66	$14.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.07 / $23.10 / $38.15	Professional	TC	$20.07	$23.10	$38.15