Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.31 / $55.31 / $55.31	Facility	26	$55.31	$55.31	$55.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $83.25 / $117.38	Professional		$69.45	$83.25	$117.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.22 / $48.07 / $83.32	Professional	26	$33.22	$48.07	$83.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.93 / $38.00 / $58.74	Professional	TC	$27.93	$38.00	$58.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.73 / $97.89 / $153.41	Professional		$84.73	$97.89	$153.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.95 / $64.02 / $99.01	Professional	26	$47.95	$64.02	$99.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.21 / $40.63 / $72.80	Professional	TC	$29.21	$40.63	$72.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $35.01 / $97.03	Professional		$25.23	$35.01	$97.03
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 $131.61 / $159.12 / $176.80	Professional		$131.61	$159.12	$176.80
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $65.45 / $86.96 / $114.90	Professional	26	$65.45	$86.96	$114.90
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $45.49 / $58.32 / $91.23	Professional	TC	$45.49	$58.32	$91.23
United Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $85.35 / $111.21	Professional		$65.95	$85.35	$111.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.60 / $49.20 / $65.09	Professional	26	$36.60	$49.20	$65.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.09 / $33.25 / $56.25	Professional	TC	$24.09	$33.25	$56.25