Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.36 / $33.36 / $33.36	Facility	26	$33.36	$33.36	$33.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.25 / $79.12 / $135.32	Professional		$58.25	$79.12	$135.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.28 / $33.36 / $173.53	Professional	26	$26.28	$33.36	$173.53
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $27.84 / $42.27 / $193.05	Professional	52	$27.84	$42.27	$193.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.80 / $51.17 / $72.43	Professional	TC	$31.80	$51.17	$72.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.73 / $98.69 / $135.91	Professional		$73.73	$98.69	$135.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.96 / $41.42 / $64.73	Professional	26	$30.96	$41.42	$64.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.97 / $55.09 / $76.80	Professional	TC	$39.97	$55.09	$76.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.96 / $37.72 / $66.43	Professional		$24.96	$37.72	$66.43
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $198.33 / $198.33 / $198.33	Facility	26	$198.33	$198.33	$198.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $101.12 / $132.66 / $170.90	Professional		$101.12	$132.66	$170.90
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $44.12 / $55.46 / $67.84	Professional	26	$44.12	$55.46	$67.84
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $57.01 / $78.77 / $105.63	Professional	TC	$57.01	$78.77	$105.63
United Facility/Professional Professional Modifier Low / Median / High Price $65.98 / $78.15 / $124.74	Professional		$65.98	$78.15	$124.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.82 / $31.76 / $51.24	Professional	26	$28.82	$31.76	$51.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.09 / $44.78 / $59.55	Professional	TC	$36.09	$44.78	$59.55