Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.94 / $10.94 / $10.94	Facility	26	$10.94	$10.94	$10.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $40.40 / $160.00	Professional		$30.51	$40.40	$160.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.52 / $10.94 / $37.00	Professional	26	$7.52	$10.94	$37.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.26 / $27.74 / $65.56	Professional	TC	$22.26	$27.74	$65.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.35 / $44.88 / $82.17	Professional		$31.35	$44.88	$82.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.37 / $18.35	Professional	26	$8.91	$12.37	$18.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.28 / $32.04 / $57.51	Professional	TC	$21.28	$32.04	$57.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $28.95 / $38.81	Professional		$22.02	$28.95	$38.81
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 Professional Modifier Low / Median / High Price $59.49 / $66.09 / $76.40	Professional		$59.49	$66.09	$76.40
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $11.90 / $15.53 / $20.44	Professional	26	$11.90	$15.53	$20.44
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $44.27 / $49.99 / $55.82	Professional	TC	$44.27	$49.99	$55.82
United Facility/Professional Professional Modifier Low / Median / High Price $34.32 / $39.34 / $65.40	Professional		$34.32	$39.34	$65.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.50 / $9.50 / $15.76	Professional	26	$8.50	$9.50	$15.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.46 / $30.32 / $50.03	Professional	TC	$24.46	$30.32	$50.03