Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.04 / $17.04 / $17.04	Facility	26	$17.04	$17.04	$17.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $40.47 / $159.00	Professional		$28.13	$40.47	$159.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.18 / $17.04 / $50.37	Professional	26	$10.18	$17.04	$50.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.89 / $23.44 / $33.04	Professional	TC	$18.89	$23.44	$33.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $47.15 / $63.42	Professional		$34.90	$47.15	$63.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.26 / $18.96 / $22.65	Professional	26	$12.26	$18.96	$22.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.63 / $27.78 / $41.37	Professional	TC	$22.63	$27.78	$41.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $28.89 / $38.81	Professional		$22.10	$28.89	$38.81
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $253.98 / $253.98 / $253.98	Facility	26	$253.98	$253.98	$253.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.72 / $42.83 / $78.25	Professional		$31.72	$42.83	$78.25
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $10.68 / $14.59 / $32.94	Professional	26	$10.68	$14.59	$32.94
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $21.02 / $28.24 / $45.31	Professional	TC	$21.02	$28.24	$45.31
United Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $39.17 / $62.62	Professional		$31.50	$39.17	$62.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.00 / $15.45 / $24.20	Professional	26	$13.00	$15.45	$24.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.80 / $24.69 / $38.56	Professional	TC	$19.80	$24.69	$38.56