Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.45 / $30.45 / $30.45	Facility	26	$30.45	$30.45	$30.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $105.84 / $497.00	Professional		$73.48	$105.84	$497.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.41 / $42.93 / $132.00	Professional	26	$26.41	$42.93	$132.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.36 / $69.13 / $339.00	Professional	TC	$48.36	$69.13	$339.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.88 / $117.00 / $216.85	Professional		$91.88	$117.00	$216.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.58 / $34.03 / $59.35	Professional	26	$24.58	$34.03	$59.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.58 / $84.03 / $150.83	Professional	TC	$61.58	$84.03	$150.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $66.69 / $98.98	Professional		$32.34	$66.69	$98.98
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 $152.19 / $177.60 / $209.47	Professional		$152.19	$177.60	$209.47
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $40.15 / $46.86 / $61.67	Professional	26	$40.15	$46.86	$61.67
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $112.03 / $130.74 / $147.62	Professional	TC	$112.03	$130.74	$147.62
United Facility/Professional Professional Modifier Low / Median / High Price $88.91 / $90.98 / $188.78	Professional		$88.91	$90.98	$188.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.40 / $26.63 / $49.19	Professional	26	$23.40	$26.63	$49.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.92 / $74.03 / $143.83	Professional	TC	$61.92	$74.03	$143.83