Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.28 / $11.28 / $11.28	Facility	26	$11.28	$11.28	$11.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.66 / $77.31 / $288.58	Professional		$23.66	$77.31	$288.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.00 / $11.28 / $51.30	Professional	26	$9.00	$11.28	$51.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.92 / $66.04 / $76.31	Professional	TC	$13.92	$66.04	$76.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.41 / $45.79 / $134.53	Professional		$29.41	$45.79	$134.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.10 / $13.77 / $20.51	Professional	26	$11.10	$13.77	$20.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.30 / $28.16 / $120.59	Professional	TC	$16.30	$28.16	$120.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $28.89 / $38.65	Professional		$22.10	$28.89	$38.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $37.18 / $42.23 / $56.31	Professional		$37.18	$42.23	$56.31
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $13.88 / $16.20 / $21.06	Professional	26	$13.88	$16.20	$21.06
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $22.36 / $25.49 / $36.02	Professional	TC	$22.36	$25.49	$36.02
United Facility/Professional Professional Modifier Low / Median / High Price $19.94 / $35.19 / $103.74	Professional		$19.94	$35.19	$103.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.55 / $9.19 / $17.11	Professional	26	$8.55	$9.19	$17.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.35 / $20.02 / $93.47	Professional	TC	$11.35	$20.02	$93.47