Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.60 / $16.60 / $16.60	Facility	26	$16.60	$16.60	$16.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.59 / $45.71 / $212.00	Professional		$38.59	$45.71	$212.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.74 / $16.60 / $53.67	Professional	26	$11.74	$16.60	$53.67
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $18.95 / $21.38 / $126.95	Professional	52	$18.95	$21.38	$126.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.26 / $27.74 / $63.17	Professional	TC	$22.26	$27.74	$63.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.89 / $52.01 / $93.51	Professional		$37.89	$52.01	$93.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.74 / $19.05 / $28.69	Professional	26	$13.74	$19.05	$28.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.36 / $35.67 / $62.51	Professional	TC	$22.36	$35.67	$62.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $28.95 / $38.62	Professional		$22.48	$28.95	$38.62
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 / $74.08 / $83.84	Professional		$67.42	$74.08	$83.84
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $19.32 / $24.22 / $31.68	Professional	26	$19.32	$24.22	$31.68
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $40.86 / $48.09 / $53.66	Professional	TC	$40.86	$48.09	$53.66
United Facility/Professional Professional Modifier Low / Median / High Price $37.44 / $44.75 / $73.84	Professional		$37.44	$44.75	$73.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.27 / $14.68 / $23.95	Professional	26	$13.27	$14.68	$23.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.76 / $30.68 / $50.62	Professional	TC	$23.76	$30.68	$50.62