Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.21 / $57.14 / $95.65	Facility	26	$13.21	$57.14	$95.65
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $32.68 / $392.56 / $785.12	Facility	TC	$32.68	$392.56	$785.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $53.35 / $204.00	Professional		$18.89	$53.35	$204.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.57 / $20.86 / $51.00	Professional	26	$9.57	$20.86	$51.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $72.23 / $155.52 / $414.00	Professional	50	$72.23	$155.52	$414.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $19.39 / $22.95 / $126.57	Professional	52	$19.39	$22.95	$126.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.78 / $46.40 / $146.00	Professional	TC	$29.78	$46.40	$146.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.82 / $54.16 / $97.38	Professional		$39.82	$54.16	$97.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.44 / $15.24 / $24.10	Professional	26	$11.44	$15.24	$24.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.39 / $39.09 / $73.31	Professional	TC	$27.39	$39.09	$73.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $28.95 / $39.23	Professional		$22.10	$28.95	$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 $70.39 / $78.20 / $92.46	Professional		$70.39	$78.20	$92.46
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $16.36 / $19.87 / $25.78	Professional	26	$16.36	$19.87	$25.78
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $51.76 / $56.60 / $66.01	Professional	TC	$51.76	$56.60	$66.01
United Facility/Professional Professional Modifier Low / Median / High Price $39.95 / $44.39 / $73.59	Professional		$39.95	$44.39	$73.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.85 / $11.89 / $19.53	Professional	26	$10.85	$11.89	$19.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.72 / $32.84 / $54.60	Professional	TC	$28.72	$32.84	$54.60