Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.00 / $17.00 / $80.98	Facility	26	$17.00	$17.00	$80.98
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $34.85 / $841.36 / $944.39	Facility	TC	$34.85	$841.36	$944.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.96 / $57.82 / $246.00	Professional		$44.96	$57.82	$246.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.78 / $17.00 / $34.00	Professional	26	$12.78	$17.00	$34.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.85 / $36.45 / $77.72	Professional	TC	$30.85	$36.45	$77.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.51 / $64.73 / $107.56	Professional		$50.51	$64.73	$107.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.63 / $20.42 / $31.60	Professional	26	$16.63	$20.42	$31.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.86 / $45.27 / $74.81	Professional	TC	$33.86	$45.27	$74.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $29.37 / $39.23	Professional		$22.63	$29.37	$39.23
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 Facility Modifier TC Low / Median / High Price $198.33 / $198.33 / $198.33	Facility	TC	$198.33	$198.33	$198.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $80.31 / $92.75 / $102.92	Professional		$80.31	$92.75	$102.92
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $20.82 / $26.08 / $32.33	Professional	26	$20.82	$26.08	$32.33
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $59.49 / $66.09 / $71.08	Professional	TC	$59.49	$66.09	$71.08
United Facility/Professional Professional Modifier Low / Median / High Price $46.61 / $52.69 / $86.94	Professional		$46.61	$52.69	$86.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.61 / $15.16 / $25.21	Professional	26	$14.61	$15.16	$25.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.98 / $37.53 / $61.92	Professional	TC	$31.98	$37.53	$61.92