Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.29 / $18.29 / $18.29	Facility	26	$18.29	$18.29	$18.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.02 / $126.84 / $562.00	Professional		$29.02	$126.84	$562.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.93 / $23.83 / $116.25	Professional	26	$15.93	$23.83	$116.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $94.10 / $108.55 / $161.49	Professional	TC	$94.10	$108.55	$161.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.44 / $187.78 / $257.14	Professional		$142.44	$187.78	$257.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.70 / $30.61 / $43.89	Professional	26	$20.70	$30.61	$43.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $115.61 / $153.63 / $207.74	Professional	TC	$115.61	$153.63	$207.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $92.38 / $133.49	Professional		$32.34	$92.38	$133.49
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $198.33 / $198.33 / $198.33	Facility	26	$198.33	$198.33	$198.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $141.91 / $184.57 / $238.61	Professional		$141.91	$184.57	$238.61
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $25.40 / $29.33 / $46.47	Professional	26	$25.40	$29.33	$46.47
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $115.52 / $150.25 / $213.23	Professional	TC	$115.52	$150.25	$213.23
United Facility/Professional Professional Modifier Low / Median / High Price $116.48 / $163.81 / $261.43	Professional		$116.48	$163.81	$261.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.19 / $25.20 / $37.35	Professional	26	$18.19	$25.20	$37.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $94.08 / $130.68 / $215.36	Professional	TC	$94.08	$130.68	$215.36