Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.53 / $7.53 / $33.78	Facility	26	$7.53	$7.53	$33.78
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $171.90 / $274.10 / $581.73	Facility	TC	$171.90	$274.10	$581.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $42.15 / $164.47	Professional		$12.80	$42.15	$164.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.32 / $11.48 / $39.68	Professional	26	$6.32	$11.48	$39.68
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.73 / $17.02 / $102.92	Professional	52	$15.73	$17.02	$102.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $34.20 / $82.64	Professional	TC	$22.57	$34.20	$82.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.36 / $41.90 / $78.63	Professional		$29.36	$41.90	$78.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.02 / $9.05 / $14.59	Professional	26	$7.02	$9.05	$14.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.00 / $32.83 / $62.14	Professional	TC	$22.00	$32.83	$62.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $28.95 / $39.23	Professional		$22.02	$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 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 $57.01 / $62.31 / $70.68	Professional		$57.01	$62.31	$70.68
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $9.92 / $12.42 / $15.04	Professional	26	$9.92	$12.42	$15.04
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $44.48 / $49.13 / $56.54	Professional	TC	$44.48	$49.13	$56.54
United Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $36.09 / $58.42	Professional		$31.60	$36.09	$58.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.65 / $7.22 / $12.00	Professional	26	$6.65	$7.22	$12.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.76 / $28.87 / $47.78	Professional	TC	$24.76	$28.87	$47.78