Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.54 / $22.54 / $22.54	Facility	26	$22.54	$22.54	$22.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.26 / $71.09 / $273.22	Professional		$53.26	$71.09	$273.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.73 / $24.28 / $81.79	Professional	26	$16.73	$24.28	$81.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.83 / $48.57 / $94.20	Professional	TC	$30.83	$48.57	$94.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.65 / $80.31 / $118.16	Professional		$60.65	$80.31	$118.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.39 / $26.40 / $38.49	Professional	26	$21.39	$26.40	$38.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.47 / $53.39 / $84.04	Professional	TC	$38.47	$53.39	$84.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.92 / $29.46 / $42.44	Professional		$22.92	$29.46	$42.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $80.02 / $107.49 / $142.38	Professional		$80.02	$107.49	$142.38
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $27.20 / $36.77 / $49.11	Professional	26	$27.20	$36.77	$49.11
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $52.82 / $70.72 / $91.91	Professional	TC	$52.82	$70.72	$91.91
United Facility/Professional Professional Modifier Low / Median / High Price $49.05 / $67.95 / $96.33	Professional		$49.05	$67.95	$96.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.64 / $20.28 / $31.38	Professional	26	$16.64	$20.28	$31.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.68 / $43.56 / $63.50	Professional	TC	$31.68	$43.56	$63.50