Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.16 / $39.21 / $39.31	Facility	26	$7.16	$39.21	$39.31
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $177.00 / $289.11 / $350.48	Facility	TC	$177.00	$289.11	$350.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $32.65 / $133.00	Professional		$10.92	$32.65	$133.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.74 / $9.42 / $26.00	Professional	26	$5.74	$9.42	$26.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.52 / $26.19 / $97.00	Professional	TC	$20.52	$26.19	$97.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $35.35 / $61.98	Professional		$27.52	$35.35	$61.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.72 / $8.61 / $13.89	Professional	26	$6.72	$8.61	$13.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.50 / $27.53 / $48.09	Professional	TC	$20.50	$27.53	$48.09
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 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 / $52.66 / $59.93	Professional		$43.62	$52.66	$59.93
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $9.42 / $11.80 / $14.32	Professional	26	$9.42	$11.80	$14.32
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $34.21 / $39.20 / $46.15	Professional	TC	$34.21	$39.20	$46.15
United Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $29.56 / $47.40	Professional		$26.36	$29.56	$47.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.30 / $6.86 / $11.32	Professional	26	$6.30	$6.86	$11.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.09 / $23.10 / $41.87	Professional	TC	$20.09	$23.10	$41.87