Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.47 / $9.47 / $9.47	Facility	26	$9.47	$9.47	$9.47
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.05 / $20.05 / $20.05	Facility	TC	$20.05	$20.05	$20.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.42 / $29.54 / $154.00	Professional		$24.42	$29.54	$154.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.73 / $9.05 / $36.76	Professional	26	$6.73	$9.05	$36.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.67 / $20.05 / $100.50	Professional	TC	$17.67	$20.05	$100.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.75 / $36.46 / $60.46	Professional		$28.75	$36.46	$60.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.27 / $11.38 / $17.05	Professional	26	$9.27	$11.38	$17.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.48 / $25.20 / $42.67	Professional	TC	$19.48	$25.20	$42.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $28.95 / $38.52	Professional		$22.02	$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 $43.62 / $52.84 / $58.29	Professional		$43.62	$52.84	$58.29
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $11.90 / $14.90 / $18.02	Professional	26	$11.90	$14.90	$18.02
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $31.73 / $35.89 / $39.81	Professional	TC	$31.73	$35.89	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $29.59 / $49.14	Professional		$26.50	$29.59	$49.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.15 / $8.66 / $14.40	Professional	26	$8.15	$8.66	$14.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.37 / $20.93 / $34.53	Professional	TC	$18.37	$20.93	$34.53