Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.38 / $4.38 / $4.38	Facility	26	$4.38	$4.38	$4.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.86 / $41.98 / $152.08	Professional		$23.86	$41.98	$152.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.87 / $4.46 / $15.44	Professional	26	$2.87	$4.46	$15.44
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $9.61 / $18.77 / $67.53	Professional	52	$9.61	$18.77	$67.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.94 / $35.28 / $118.18	Professional	TC	$18.94	$35.28	$118.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.74 / $38.45 / $92.89	Professional		$27.74	$38.45	$92.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.76 / $5.13 / $7.34	Professional	26	$3.76	$5.13	$7.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.98 / $33.28 / $85.52	Professional	TC	$23.98	$33.28	$85.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $29.37 / $38.81	Professional		$22.48	$29.37	$38.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $37.13 / $49.50 / $67.26	Professional		$37.13	$49.50	$67.26
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $4.71 / $6.36 / $9.86	Professional	26	$4.71	$6.36	$9.86
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $32.43 / $43.14 / $57.42	Professional	TC	$32.43	$43.14	$57.42
United Facility/Professional Professional Modifier Low / Median / High Price $22.73 / $31.68 / $52.51	Professional		$22.73	$31.68	$52.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.93 / $3.96 / $5.43	Professional	26	$2.93	$3.96	$5.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.52 / $27.72 / $48.65	Professional	TC	$19.52	$27.72	$48.65