Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.94 / $39.94 / $39.94	Facility	26	$39.94	$39.94	$39.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.41 / $65.27 / $94.29	Professional		$53.41	$65.27	$94.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.55 / $35.75 / $59.83	Professional	26	$25.55	$35.75	$59.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.67 / $30.55 / $49.50	Professional	TC	$20.67	$30.55	$49.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.38 / $73.55 / $129.97	Professional		$65.38	$73.55	$129.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.46 / $46.55 / $71.68	Professional	26	$36.46	$46.55	$71.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.81 / $33.86 / $58.83	Professional	TC	$21.81	$33.86	$58.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.96 / $34.36 / $65.27	Professional		$24.96	$34.36	$65.27
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $67.61 / $67.61	Facility	26	$67.61	$67.61	$67.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $119.99 / $142.15	Professional		$100.00	$119.99	$142.15
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $49.24 / $64.36 / $82.34	Professional	26	$49.24	$64.36	$82.34
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $34.35 / $43.78 / $77.79	Professional	TC	$34.35	$43.78	$77.79
United Facility/Professional Professional Modifier Low / Median / High Price $49.35 / $63.00 / $88.76	Professional		$49.35	$63.00	$88.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.60 / $36.79 / $49.09	Professional	26	$27.60	$36.79	$49.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.59 / $28.00 / $47.48	Professional	TC	$17.59	$28.00	$47.48