Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.31 / $31.51 / $116.99	Facility		$7.31	$31.51	$116.99
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.72 / $4.72 / $4.72	Facility	26	$4.72	$4.72	$4.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.72 / $30.06 / $81.11	Professional		$21.72	$30.06	$81.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.41 / $4.30 / $16.14	Professional	26	$2.41	$4.30	$16.14
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $9.17 / $15.76 / $58.96	Professional	52	$9.17	$15.76	$58.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.77 / $26.21 / $37.39	Professional	TC	$18.77	$26.21	$37.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.79 / $39.72 / $54.25	Professional		$25.79	$39.72	$54.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.53 / $5.61 / $15.26	Professional	26	$3.53	$5.61	$15.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.76 / $33.54 / $42.51	Professional	TC	$21.76	$33.54	$42.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $28.89 / $36.68	Professional		$22.02	$28.89	$36.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $61.90 / $82.15 / $110.81	Facility		$61.90	$82.15	$110.81
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $101.30 / $101.30 / $101.30	Facility	26	$101.30	$101.30	$101.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $29.05 / $32.43	Professional		$26.78	$29.05	$32.43
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $3.45 / $4.24 / $4.95	Professional	26	$3.45	$4.24	$4.95
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $22.82 / $24.26 / $27.09	Professional	TC	$22.82	$24.26	$27.09
United Facility/Professional Professional Modifier Low / Median / High Price $21.08 / $29.23 / $44.65	Professional		$21.08	$29.23	$44.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.97 / $3.97 / $10.26	Professional	26	$2.97	$3.97	$10.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.82 / $24.51 / $36.59	Professional	TC	$17.82	$24.51	$36.59