Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.92 / $75.05 / $81.22	Facility	26	$12.92	$75.05	$81.22
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $194.90 / $331.11 / $400.85	Facility	TC	$194.90	$331.11	$400.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.21 / $37.20 / $187.00	Professional		$32.21	$37.20	$187.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.45 / $16.07 / $47.20	Professional	26	$10.45	$16.07	$47.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.63 / $25.97 / $118.00	Professional	TC	$21.63	$25.97	$118.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.77 / $45.61 / $73.67	Professional		$34.77	$45.61	$73.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.77 / $16.29 / $24.44	Professional	26	$12.77	$16.29	$24.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.00 / $29.42 / $48.50	Professional	TC	$22.00	$29.42	$48.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $28.95 / $39.23	Professional		$22.48	$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 $54.53 / $61.48 / $68.08	Professional		$54.53	$61.48	$68.08
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $15.87 / $20.49 / $24.79	Professional	26	$15.87	$20.49	$24.79
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $38.65 / $42.96 / $44.80	Professional	TC	$38.65	$42.96	$44.80
United Facility/Professional Professional Modifier Low / Median / High Price $31.94 / $36.45 / $60.14	Professional		$31.94	$36.45	$60.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.21 / $11.91 / $19.80	Professional	26	$11.21	$11.91	$19.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.74 / $24.54 / $40.49	Professional	TC	$20.74	$24.54	$40.49