Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.64 / $10.64 / $10.64	Facility	26	$10.64	$10.64	$10.64
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.80 / $187.50 / $280.39	Facility	TC	$20.80	$187.50	$280.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.22 / $34.54 / $117.46	Professional		$17.22	$34.54	$117.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $10.64 / $39.94	Professional	26	$8.13	$10.64	$39.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.32 / $21.68 / $45.97	Professional	TC	$18.32	$21.68	$45.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.62 / $39.25 / $65.12	Professional		$30.62	$39.25	$65.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.43 / $12.80 / $20.50	Professional	26	$10.43	$12.80	$20.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.20 / $27.49 / $44.51	Professional	TC	$20.20	$27.49	$44.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $28.95 / $38.52	Professional		$22.10	$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 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 $49.08 / $56.25 / $62.43	Professional		$49.08	$56.25	$62.43
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $13.38 / $16.77 / $20.23	Professional	26	$13.38	$16.77	$20.23
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $35.69 / $39.54 / $42.42	Professional	TC	$35.69	$39.54	$42.42
United Facility/Professional Professional Modifier Low / Median / High Price $28.22 / $32.11 / $53.00	Professional		$28.22	$32.11	$53.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.17 / $9.74 / $16.07	Professional	26	$9.17	$9.74	$16.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $22.38 / $36.93	Professional	TC	$19.05	$22.38	$36.93