Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.91 / $11.39 / $115.41	Facility	26	$9.91	$11.39	$115.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $40.47 / $153.00	Professional		$25.00	$40.47	$153.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $37.15 / $47.07 / $47.07	Professional	25	$37.15	$47.07	$47.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $9.91 / $35.15	Professional	26	$7.41	$9.91	$35.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.00 / $28.33 / $39.29	Professional	TC	$17.00	$28.33	$39.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.36 / $42.59 / $57.99	Professional		$30.36	$42.59	$57.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.72 / $11.39 / $16.53	Professional	26	$8.72	$11.39	$16.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $30.67 / $40.42	Professional	TC	$21.88	$30.67	$40.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $29.37 / $39.23	Professional		$22.48	$29.37	$39.23
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $253.98 / $253.98 / $253.98	Facility	26	$253.98	$253.98	$253.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.74 / $41.32 / $77.18	Professional		$30.74	$41.32	$77.18
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $9.18 / $11.94 / $19.30	Professional	26	$9.18	$11.94	$19.30
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $21.52 / $29.31 / $57.88	Professional	TC	$21.52	$29.31	$57.88
United Facility/Professional Professional Modifier Low / Median / High Price $29.69 / $36.00 / $56.56	Professional		$29.69	$36.00	$56.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.19 / $9.21 / $14.16	Professional	26	$7.19	$9.21	$14.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.70 / $27.36 / $43.13	Professional	TC	$21.70	$27.36	$43.13