Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.64 / $40.64 / $40.64	Facility	26	$40.64	$40.64	$40.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.33 / $115.98 / $134.66	Professional		$36.33	$115.98	$134.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.12 / $34.51 / $50.75	Professional	26	$20.12	$34.51	$50.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.54 / $88.56 / $97.42	Professional	TC	$16.54	$88.56	$97.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.84 / $71.81 / $158.58	Professional		$44.84	$71.81	$158.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.05 / $39.46 / $48.79	Professional	26	$25.05	$39.46	$48.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.98 / $32.35 / $114.46	Professional	TC	$19.98	$32.35	$114.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $28.89 / $38.52	Professional		$22.10	$28.89	$38.52
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $203.75 / $203.75 / $203.75	Facility	26	$203.75	$203.75	$203.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $44.75 / $51.88 / $59.97	Professional		$44.75	$51.88	$59.97
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $24.10 / $29.66 / $33.97	Professional	26	$24.10	$29.66	$33.97
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $20.66 / $22.30 / $24.48	Professional	TC	$20.66	$22.30	$24.48
United Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $58.69 / $140.91	Professional		$36.29	$58.69	$140.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.47 / $28.35 / $49.30	Professional	26	$20.47	$28.35	$49.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.98 / $23.96 / $102.51	Professional	TC	$15.98	$23.96	$102.51