Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.91 / $16.91 / $16.91	Facility	26	$16.91	$16.91	$16.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.20 / $59.47 / $302.00	Professional		$44.20	$59.47	$302.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.98 / $16.91 / $80.84	Professional	26	$12.98	$16.91	$80.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.22 / $42.56 / $220.00	Professional	TC	$31.22	$42.56	$220.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.06 / $71.68 / $109.98	Professional		$58.06	$71.68	$109.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.63 / $20.41 / $30.77	Professional	26	$16.63	$20.41	$30.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.43 / $50.92 / $79.41	Professional	TC	$41.43	$50.92	$79.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $29.46 / $39.63	Professional		$22.63	$29.46	$39.63
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 $79.31 / $93.77 / $113.22	Professional		$79.31	$93.77	$113.22
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $20.82 / $26.70 / $32.21	Professional	26	$20.82	$26.70	$32.21
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $58.49 / $68.26 / $81.04	Professional	TC	$58.49	$68.26	$81.04
United Facility/Professional Professional Modifier Low / Median / High Price $39.26 / $48.72 / $89.99	Professional		$39.26	$48.72	$89.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.67 / $14.29 / $25.20	Professional	26	$10.67	$14.29	$25.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.44 / $33.39 / $64.79	Professional	TC	$28.44	$33.39	$64.79