Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.28 / $8.28 / $8.28	Facility	26	$8.28	$8.28	$8.28
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $17.45 / $197.97 / $302.43	Facility	TC	$17.45	$197.97	$302.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $23.58 / $43.04	Professional		$13.15	$23.58	$43.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.42 / $8.28 / $34.11	Professional	26	$6.42	$8.28	$34.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.13 / $17.45 / $28.24	Professional	TC	$12.13	$17.45	$28.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $30.92 / $46.05	Professional		$23.32	$30.92	$46.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.81 / $10.01 / $16.11	Professional	26	$7.81	$10.01	$16.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.16 / $19.98 / $29.97	Professional	TC	$15.16	$19.98	$29.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $25.81 / $60.00	Professional		$11.36	$25.81	$60.00
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 Facility Modifier TC Low / Median / High Price $147.24 / $147.24 / $147.24	Facility	TC	$147.24	$147.24	$147.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $39.74 / $47.21	Professional		$32.22	$39.74	$47.21
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $10.91 / $13.66 / $17.45	Professional	26	$10.91	$13.66	$17.45
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $21.31 / $26.08 / $31.28	Professional	TC	$21.31	$26.08	$31.28
United Facility/Professional Professional Modifier Low / Median / High Price $21.65 / $23.78 / $40.32	Professional		$21.65	$23.78	$40.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.20 / $7.94 / $13.23	Professional	26	$7.20	$7.94	$13.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.71 / $17.01 / $23.31	Professional	TC	$13.71	$17.01	$23.31