Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.02 / $9.02 / $9.02	Facility	26	$9.02	$9.02	$9.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.33 / $28.66 / $111.00	Professional		$14.33	$28.66	$111.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.22 / $14.61 / $52.51	Professional	26	$8.22	$14.61	$52.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.48 / $16.93 / $49.94	Professional	TC	$11.48	$16.93	$49.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.76 / $29.38 / $78.01	Professional		$19.76	$29.38	$78.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $13.45 / $28.29	Professional	26	$8.91	$13.45	$28.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.84 / $19.55 / $49.72	Professional	TC	$10.84	$19.55	$49.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $28.59 / $36.68	Professional		$16.98	$28.59	$36.68
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $878.86 / $878.86 / $878.86	Facility	26	$878.86	$878.86	$878.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $33.65 / $63.45 / $70.50	Professional		$33.65	$63.45	$70.50
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $16.66 / $22.31 / $25.16	Professional	26	$16.66	$22.31	$25.16
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $16.36 / $40.58 / $45.72	Professional	TC	$16.36	$40.58	$45.72
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $43.67 / $72.06	Professional		$19.05	$43.67	$72.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.83 / $16.23 / $26.80	Professional	26	$7.83	$16.23	$26.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.20 / $27.43 / $45.26	Professional	TC	$11.20	$27.43	$45.26