Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.06 / $55.57 / $222.04	Facility	26	$12.06	$55.57	$222.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $104.61 / $228.23	Professional		$36.22	$104.61	$228.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.86 / $10.54 / $29.00	Professional	26	$7.86	$10.54	$29.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.70 / $77.39 / $142.10	Professional	TC	$23.70	$77.39	$142.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.05 / $82.54 / $227.18	Professional		$45.05	$82.54	$227.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.27 / $13.98 / $20.51	Professional	26	$10.27	$13.98	$20.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.95 / $61.04 / $116.30	Professional	TC	$33.95	$61.04	$116.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $29.37 / $39.23	Professional		$22.14	$29.37	$39.23
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 $58.00 / $68.31 / $88.78	Professional		$58.00	$68.31	$88.78
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $13.88 / $17.39 / $21.77	Professional	26	$13.88	$17.39	$21.77
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $44.12 / $51.49 / $69.17	Professional	TC	$44.12	$51.49	$69.17
United Facility/Professional Professional Modifier Low / Median / High Price $29.24 / $46.74 / $79.92	Professional		$29.24	$46.74	$79.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.38 / $9.52 / $16.80	Professional	26	$7.38	$9.52	$16.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.86 / $35.94 / $63.25	Professional	TC	$21.86	$35.94	$63.25