Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.29 / $17.29 / $17.29	Facility	26	$17.29	$17.29	$17.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.56 / $65.93 / $92.96	Professional		$35.56	$65.93	$92.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.31 / $16.48 / $34.75	Professional	26	$13.31	$16.48	$34.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.25 / $48.64 / $68.58	Professional	TC	$22.25	$48.64	$68.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.24 / $68.70 / $95.21	Professional		$46.24	$68.70	$95.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.18 / $21.23 / $32.96	Professional	26	$16.18	$21.23	$32.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.53 / $47.33 / $73.98	Professional	TC	$27.53	$47.33	$73.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $29.37 / $38.81	Professional		$22.63	$29.37	$38.81
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $669.98 / $669.98 / $669.98	Facility	26	$669.98	$669.98	$669.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $61.47 / $70.93 / $81.36	Professional		$61.47	$70.93	$81.36
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $22.31 / $27.32 / $33.72	Professional	26	$22.31	$27.32	$33.72
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $39.15 / $41.67 / $51.59	Professional	TC	$39.15	$41.67	$51.59
United Facility/Professional Professional Modifier Low / Median / High Price $38.42 / $51.40 / $81.36	Professional		$38.42	$51.40	$81.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.32 / $16.23 / $27.00	Professional	26	$15.32	$16.23	$27.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.12 / $31.56 / $59.15	Professional	TC	$23.12	$31.56	$59.15