Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.12 / $30.12 / $30.12	Facility	26	$30.12	$30.12	$30.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.10 / $95.43 / $427.24	Professional		$59.10	$95.43	$427.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.46 / $35.95 / $144.00	Professional	26	$23.46	$35.95	$144.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $27.03 / $58.26 / $444.97	Professional	52	$27.03	$58.26	$444.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.85 / $65.31 / $285.98	Professional	TC	$25.85	$65.31	$285.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $98.71 / $161.24	Professional		$71.23	$98.71	$161.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.90 / $37.97 / $54.59	Professional	26	$27.90	$37.97	$54.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.32 / $56.05 / $102.66	Professional	TC	$38.32	$56.05	$102.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.96 / $38.52 / $66.47	Professional		$24.96	$38.52	$66.47
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 $84.77 / $117.14 / $179.06	Professional		$84.77	$117.14	$179.06
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $39.65 / $49.86 / $58.66	Professional	26	$39.65	$49.86	$58.66
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $45.11 / $62.34 / $120.41	Professional	TC	$45.11	$62.34	$120.41
United Facility/Professional Professional Modifier Low / Median / High Price $76.45 / $85.84 / $133.80	Professional		$76.45	$85.84	$133.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.18 / $29.59 / $48.51	Professional	26	$27.18	$29.59	$48.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.34 / $50.89 / $83.97	Professional	TC	$36.34	$50.89	$83.97