Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.22 / $25.22 / $25.22	Facility	26	$25.22	$25.22	$25.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.79 / $76.03 / $132.06	Professional		$54.79	$76.03	$132.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.73 / $25.22 / $45.03	Professional	26	$18.73	$25.22	$45.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.38 / $50.81 / $87.65	Professional	TC	$37.38	$50.81	$87.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.01 / $83.51 / $133.63	Professional		$68.01	$83.51	$133.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.13 / $29.98 / $45.41	Professional	26	$22.13	$29.98	$45.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.59 / $53.56 / $86.07	Professional	TC	$43.59	$53.56	$86.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $29.53 / $43.76	Professional		$22.63	$29.53	$43.76
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 $97.16 / $121.10 / $131.01	Professional		$97.16	$121.10	$131.01
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $30.74 / $38.50 / $48.03	Professional	26	$30.74	$38.50	$48.03
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $66.43 / $76.23 / $89.11	Professional	TC	$66.43	$76.23	$89.11
United Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $70.33 / $119.71	Professional		$64.23	$70.33	$119.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.77 / $22.76 / $37.81	Professional	26	$21.77	$22.76	$37.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.50 / $44.25 / $70.55	Professional	TC	$41.50	$44.25	$70.55