Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.95 / $10.95 / $10.95	Facility	26	$10.95	$10.95	$10.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $31.30 / $162.00	Professional		$25.76	$31.30	$162.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.48 / $10.09 / $20.86	Professional	26	$8.48	$10.09	$20.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.28 / $20.35 / $41.33	Professional	TC	$17.28	$20.35	$41.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.97 / $40.79 / $67.20	Professional		$28.97	$40.79	$67.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.67 / $14.30 / $21.85	Professional	26	$10.67	$14.30	$21.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.32 / $28.68 / $45.44	Professional	TC	$17.32	$28.68	$45.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $28.89 / $38.62	Professional		$22.10	$28.89	$38.62
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $147.24 / $147.24 / $147.24	Facility	26	$147.24	$147.24	$147.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $52.33 / $57.22	Professional		$47.10	$52.33	$57.22
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $13.88 / $18.01 / $23.29	Professional	26	$13.88	$18.01	$23.29
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $31.91 / $33.93 / $36.90	Professional	TC	$31.91	$33.93	$36.90
United Facility/Professional Professional Modifier Low / Median / High Price $21.08 / $27.51 / $54.19	Professional		$21.08	$27.51	$54.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.64 / $10.27 / $17.97	Professional	26	$7.64	$10.27	$17.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.17 / $17.42 / $36.90	Professional	TC	$13.17	$17.42	$36.90