Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.41 / $9.41 / $9.41	Facility	26	$9.41	$9.41	$9.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $79.70 / $114.23	Professional		$37.50	$79.70	$114.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.78 / $13.52 / $40.32	Professional	26	$7.78	$13.52	$40.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $71.73 / $133.21	Professional	TC	$23.99	$71.73	$133.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.47 / $77.97 / $119.68	Professional		$49.47	$77.97	$119.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.31 / $14.67 / $27.65	Professional	26	$9.31	$14.67	$27.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.69 / $52.38 / $108.25	Professional	TC	$31.69	$52.38	$108.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $29.37 / $39.23	Professional		$22.63	$29.37	$39.23
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $418.84 / $418.84 / $418.84	Facility	26	$418.84	$418.84	$418.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.45 / $79.48 / $98.05	Professional		$63.45	$79.48	$98.05
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $17.84 / $21.82 / $27.94	Professional	26	$17.84	$21.82	$27.94
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $41.64 / $51.54 / $80.63	Professional	TC	$41.64	$51.54	$80.63
United Facility/Professional Professional Modifier Low / Median / High Price $42.59 / $65.69 / $92.40	Professional		$42.59	$65.69	$92.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.50 / $15.88 / $26.20	Professional	26	$8.50	$15.88	$26.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.71 / $42.63 / $84.00	Professional	TC	$26.71	$42.63	$84.00