Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.02 / $9.02 / $21.83	Facility	26	$9.02	$9.02	$21.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $30.93 / $109.39	Professional		$13.80	$30.93	$109.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $13.07 / $35.67	Professional	26	$7.03	$13.07	$35.67
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.07 / $15.24 / $80.87	Professional	52	$12.07	$15.24	$80.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $22.29 / $69.38	Professional	TC	$18.20	$22.29	$69.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.59 / $35.06 / $60.73	Professional		$26.59	$35.06	$60.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.17 / $10.77 / $16.82	Professional	26	$8.17	$10.77	$16.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.04 / $24.49 / $43.90	Professional	TC	$18.04	$24.49	$43.90
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 Professional Modifier Low / Median / High Price $42.63 / $50.85 / $57.62	Professional		$42.63	$50.85	$57.62
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $11.40 / $14.28 / $17.30	Professional	26	$11.40	$14.28	$17.30
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $31.23 / $34.70 / $42.21	Professional	TC	$31.23	$34.70	$42.21
United Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $28.51 / $47.40	Professional		$25.77	$28.51	$47.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.60 / $8.30 / $13.80	Professional	26	$7.60	$8.30	$13.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.87 / $20.21 / $33.60	Professional	TC	$18.87	$20.21	$33.60