Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.50 / $30.50 / $30.50	Facility	26	$30.50	$30.50	$30.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.83 / $116.85 / $266.60	Professional		$111.83	$116.85	$266.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.64 / $30.50 / $56.55	Professional	26	$23.64	$30.50	$56.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $86.35 / $91.95 / $210.05	Professional	TC	$86.35	$91.95	$210.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.01 / $143.47 / $262.00	Professional		$104.01	$143.47	$262.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.36 / $36.61 / $57.75	Professional	26	$28.36	$36.61	$57.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.17 / $107.64 / $191.84	Professional	TC	$74.17	$107.64	$191.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $92.34 / $133.49	Professional		$32.34	$92.34	$133.49
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $669.98 / $669.98 / $669.98	Facility	26	$669.98	$669.98	$669.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $190.40 / $205.66 / $229.92	Professional		$190.40	$205.66	$229.92
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $39.15 / $49.68 / $59.50	Professional	26	$39.15	$49.68	$59.50
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $139.36 / $156.65 / $177.73	Professional	TC	$139.36	$156.65	$177.73
United Facility/Professional Professional Modifier Low / Median / High Price $105.68 / $122.34 / $201.86	Professional		$105.68	$122.34	$201.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.52 / $28.15 / $46.80	Professional	26	$26.52	$28.15	$46.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.22 / $94.19 / $156.59	Professional	TC	$79.22	$94.19	$156.59