Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.10 / $30.10 / $30.10	Facility	26	$30.10	$30.10	$30.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $85.26 / $266.00	Professional		$38.36	$85.26	$266.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.37 / $45.09 / $132.00	Professional	26	$23.37	$45.09	$132.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.55 / $55.16 / $136.94	Professional	TC	$14.55	$55.16	$136.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.19 / $94.38 / $107.68	Professional		$48.19	$94.38	$107.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.38 / $35.79 / $44.47	Professional	26	$28.38	$35.79	$44.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.23 / $58.79 / $70.75	Professional	TC	$19.23	$58.79	$70.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $29.46 / $58.23	Professional		$22.48	$29.46	$58.23
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $230.90 / $230.90 / $230.90	Facility	26	$230.90	$230.90	$230.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $58.49 / $146.07 / $166.15	Professional		$58.49	$146.07	$166.15
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $35.20 / $53.47 / $59.12	Professional	26	$35.20	$53.47	$59.12
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $23.30 / $92.61 / $107.04	Professional	TC	$23.30	$92.61	$107.04
United Facility/Professional Professional Modifier Low / Median / High Price $48.36 / $79.79 / $102.96	Professional		$48.36	$79.79	$102.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.54 / $33.19 / $46.02	Professional	26	$24.54	$33.19	$46.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $39.29 / $83.72	Professional	TC	$23.82	$39.29	$83.72