Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.25 / $27.84 / $120.34	Facility		$15.25	$27.84	$120.34
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.50 / $10.50 / $10.50	Facility	26	$10.50	$10.50	$10.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $15.25 / $60.00	Professional		$11.36	$15.25	$60.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $8.84 / $17.64	Professional	26	$7.24	$8.84	$17.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $11.36 / $11.36 / $11.36	Professional	50	$11.36	$11.36	$11.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.08 / $4.75 / $6.93	Professional	TC	$3.08	$4.75	$6.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.98 / $31.44 / $99.52	Facility		$4.98	$31.44	$99.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $17.23 / $24.39	Professional		$13.20	$17.23	$24.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.05 / $11.86 / $16.73	Professional	26	$9.05	$11.86	$16.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.92 / $5.35 / $7.66	Professional	TC	$3.92	$5.35	$7.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.43 / $22.37 / $60.00	Professional		$8.43	$22.37	$60.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $41.42 / $57.31 / $82.27	Facility		$41.42	$57.31	$82.27
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $44.90 / $44.90 / $44.90	Facility	26	$44.90	$44.90	$44.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $23.29 / $31.61	Professional		$16.86	$23.29	$31.61
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $11.40 / $15.76 / $20.88	Professional	26	$11.40	$15.76	$20.88
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $5.45 / $7.54 / $10.74	Professional	TC	$5.45	$7.54	$10.74
United Facility/Professional Professional Modifier Low / Median / High Price $11.56 / $12.92 / $20.25	Professional		$11.56	$12.92	$20.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.03 / $9.19 / $13.70	Professional	26	$8.03	$9.19	$13.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.60 / $4.28 / $6.40	Professional	TC	$3.60	$4.28	$6.40