Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.35 / $15.35 / $15.35	Facility	26	$15.35	$15.35	$15.35
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.63 / $26.63 / $353.00	Facility	TC	$26.63	$26.63	$353.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.78 / $41.98 / $232.00	Professional		$37.78	$41.98	$232.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $15.34 / $30.34	Professional	26	$11.48	$15.34	$30.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.42 / $27.96 / $65.05	Professional	TC	$25.42	$27.96	$65.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.72 / $53.46 / $86.11	Professional		$40.72	$53.46	$86.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.07 / $18.94 / $28.94	Professional	26	$15.07	$18.94	$28.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.60 / $33.95 / $56.48	Professional	TC	$25.60	$33.95	$56.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.92 / $29.53 / $39.23	Professional		$22.92	$29.53	$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 $63.95 / $72.09 / $79.80	Professional		$63.95	$72.09	$79.80
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $18.84 / $23.60 / $29.43	Professional	26	$18.84	$23.60	$29.43
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $45.11 / $50.12 / $52.11	Professional	TC	$45.11	$50.12	$52.11
United Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $42.22 / $69.66	Professional		$37.36	$42.22	$69.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.25 / $13.71 / $22.79	Professional	26	$13.25	$13.71	$22.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.16 / $28.51 / $47.04	Professional	TC	$24.16	$28.51	$47.04