Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.25 / $59.97 / $59.97	Facility	26	$22.25	$59.97	$59.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.28 / $61.24 / $224.00	Professional		$28.28	$61.24	$224.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.03 / $35.42 / $134.36	Professional	26	$20.03	$35.42	$134.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.18 / $27.82 / $86.32	Professional	TC	$9.18	$27.82	$86.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $68.53 / $116.79	Professional		$33.72	$68.53	$116.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.88 / $34.75 / $61.07	Professional	26	$22.88	$34.75	$61.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.84 / $34.35 / $55.71	Professional	TC	$10.84	$34.35	$55.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.63 / $36.21 / $65.98	Professional		$24.63	$36.21	$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 $67.42 / $75.37 / $109.88	Professional		$67.42	$75.37	$109.88
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $42.14 / $51.53 / $53.72	Professional	26	$42.14	$51.53	$53.72
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $18.67 / $22.67 / $55.33	Professional	TC	$18.67	$22.67	$55.33
United Facility/Professional Professional Modifier Low / Median / High Price $32.10 / $58.10 / $93.72	Professional		$32.10	$58.10	$93.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.28 / $25.06 / $41.09	Professional	26	$21.28	$25.06	$41.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.82 / $33.20 / $49.80	Professional	TC	$10.82	$33.20	$49.80