Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.35 / $32.35 / $32.35	Facility	26	$32.35	$32.35	$32.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.71 / $118.10 / $337.88	Professional		$57.71	$118.10	$337.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.26 / $35.49 / $159.10	Professional	26	$25.26	$35.49	$159.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.66 / $87.18 / $128.65	Professional	TC	$30.66	$87.18	$128.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.25 / $94.42 / $155.69	Professional		$67.25	$94.42	$155.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.42 / $39.11 / $59.35	Professional	26	$29.42	$39.11	$59.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.04 / $49.85 / $114.07	Professional	TC	$33.04	$49.85	$114.07
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 $88.73 / $107.43 / $134.40	Professional		$88.73	$107.43	$134.40
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $40.15 / $51.65 / $61.77	Professional	26	$40.15	$51.65	$61.77
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $48.55 / $53.98 / $72.63	Professional	TC	$48.55	$53.98	$72.63
United Facility/Professional Professional Modifier Low / Median / High Price $58.72 / $66.27 / $194.05	Professional		$58.72	$66.27	$194.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.95 / $29.59 / $47.73	Professional	26	$28.95	$29.59	$47.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.36 / $31.92 / $82.90	Professional	TC	$29.36	$31.92	$82.90