Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.18 / $18.18 / $18.18	Facility	26	$18.18	$18.18	$18.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.49 / $66.33 / $300.00	Professional		$51.49	$66.33	$300.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.69 / $18.18 / $70.40	Professional	26	$13.69	$18.18	$70.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.11 / $43.09 / $91.62	Professional	TC	$37.11	$43.09	$91.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.50 / $74.81 / $123.98	Professional		$58.50	$74.81	$123.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.79 / $21.83 / $32.26	Professional	26	$17.79	$21.83	$32.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.71 / $53.19 / $88.96	Professional	TC	$40.71	$53.19	$88.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $43.23 / $67.28	Professional		$24.25	$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 $92.21 / $107.43 / $119.18	Professional		$92.21	$107.43	$119.18
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $22.31 / $27.32 / $34.54	Professional	26	$22.31	$27.32	$34.54
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $69.89 / $77.66 / $85.41	Professional	TC	$69.89	$77.66	$85.41
United Facility/Professional Professional Modifier Low / Median / High Price $54.02 / $59.91 / $99.60	Professional		$54.02	$59.91	$99.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.63 / $16.23 / $27.00	Professional	26	$15.63	$16.23	$27.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.45 / $43.67 / $72.05	Professional	TC	$38.45	$43.67	$72.05