Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.45 / $12.45 / $12.45	Facility	26	$12.45	$12.45	$12.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.89 / $41.86 / $180.32	Professional		$24.89	$41.86	$180.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $12.45 / $48.50	Professional	26	$8.13	$12.45	$48.50
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.93 / $20.93 / $90.16	Professional	52	$11.93	$20.93	$90.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.76 / $29.42 / $123.17	Professional	TC	$16.76	$29.42	$123.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.31 / $43.89 / $66.70	Professional		$33.31	$43.89	$66.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.32 / $13.98 / $20.57	Professional	26	$10.32	$13.98	$20.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.63 / $30.09 / $47.03	Professional	TC	$22.63	$30.09	$47.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $28.95 / $39.23	Professional		$22.10	$28.95	$39.23
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 $43.13 / $52.79 / $78.93	Professional		$43.13	$52.79	$78.93
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $13.38 / $16.77 / $23.35	Professional	26	$13.38	$16.77	$23.35
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $29.75 / $36.02 / $55.61	Professional	TC	$29.75	$36.02	$55.61
United Facility/Professional Professional Modifier Low / Median / High Price $31.76 / $36.14 / $61.75	Professional		$31.76	$36.14	$61.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.74 / $10.79 / $18.27	Professional	26	$9.74	$10.79	$18.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.02 / $27.52 / $37.43	Professional	TC	$22.02	$27.52	$37.43