Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.20 / $16.20 / $16.20	Facility	26	$16.20	$16.20	$16.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.93 / $55.07 / $118.26	Professional		$46.93	$55.07	$118.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.77 / $16.20 / $31.58	Professional	26	$11.77	$16.20	$31.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.14 / $40.33 / $90.29	Professional	TC	$34.14	$40.33	$90.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.31 / $69.39 / $109.44	Professional		$53.31	$69.39	$109.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.82 / $19.39 / $28.53	Professional	26	$15.82	$19.39	$28.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.47 / $51.09 / $84.47	Professional	TC	$37.47	$51.09	$84.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.47 / $43.23 / $67.28	Professional		$24.47	$43.23	$67.28
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $198.33 / $198.33 / $198.33	Facility	26	$198.33	$198.33	$198.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.23 / $99.14 / $109.30	Professional		$89.23	$99.14	$109.30
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $19.32 / $24.22 / $30.81	Professional	26	$19.32	$24.22	$30.81
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $68.95 / $73.29 / $78.61	Professional	TC	$68.95	$73.29	$78.61
United Facility/Professional Professional Modifier Low / Median / High Price $49.35 / $56.66 / $93.49	Professional		$49.35	$56.66	$93.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.37 / $14.68 / $23.39	Professional	26	$13.37	$14.68	$23.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.36 / $42.59 / $70.65	Professional	TC	$35.36	$42.59	$70.65