Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.07 / $26.07 / $26.07	Facility	26	$26.07	$26.07	$26.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.10 / $47.64 / $68.70	Professional		$41.10	$47.64	$68.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.73 / $21.35 / $36.75	Professional	26	$14.73	$21.35	$36.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.62 / $26.76 / $43.34	Professional	TC	$17.62	$26.76	$43.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.47 / $53.44 / $92.01	Professional		$47.47	$53.44	$92.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.62 / $30.13 / $43.00	Professional	26	$20.62	$30.13	$43.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.77 / $29.14 / $56.31	Professional	TC	$18.77	$29.14	$56.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.24 / $28.95 / $38.81	Professional		$22.24	$28.95	$38.81
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $44.90 / $44.90 / $44.90	Facility	26	$44.90	$44.90	$44.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $72.64 / $86.25 / $103.25	Professional		$72.64	$86.25	$103.25
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $28.13 / $40.79 / $54.23	Professional	26	$28.13	$40.79	$54.23
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $28.77 / $37.43 / $66.48	Professional	TC	$28.77	$37.43	$66.48
United Facility/Professional Professional Modifier Low / Median / High Price $35.36 / $45.53 / $65.09	Professional		$35.36	$45.53	$65.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.20 / $21.78 / $30.15	Professional	26	$16.20	$21.78	$30.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.70 / $23.46 / $38.17	Professional	TC	$14.70	$23.46	$38.17