Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.83 / $139.63 / $139.63	Facility	26	$21.83	$139.63	$139.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.01 / $90.58 / $340.90	Professional		$47.01	$90.58	$340.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.38 / $33.36 / $84.80	Professional	26	$19.38	$33.36	$84.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.10 / $66.41 / $104.00	Professional	TC	$21.10	$66.41	$104.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $77.69 / $128.50	Professional		$55.57	$77.69	$128.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.01 / $32.71 / $43.99	Professional	26	$21.01	$32.71	$43.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.36 / $38.82 / $94.12	Professional	TC	$26.36	$38.82	$94.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.96 / $36.68 / $65.98	Professional		$24.96	$36.68	$65.98
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 $73.37 / $88.18 / $107.01	Professional		$73.37	$88.18	$107.01
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $34.21 / $39.74 / $51.67	Professional	26	$34.21	$39.74	$51.67
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $38.39 / $43.51 / $67.26	Professional	TC	$38.39	$43.51	$67.26
United Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $52.06 / $106.14	Professional		$48.34	$52.06	$106.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.71 / $25.26 / $40.39	Professional	26	$19.71	$25.26	$40.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.67 / $25.76 / $82.22	Professional	TC	$23.67	$25.76	$82.22