Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.05 / $17.05 / $17.05	Facility	26	$17.05	$17.05	$17.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.96 / $42.55 / $154.00	Professional		$34.96	$42.55	$154.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.92 / $15.02 / $25.40	Professional	26	$12.92	$15.02	$25.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.96 / $26.09 / $34.44	Professional	TC	$21.96	$26.09	$34.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.60 / $49.93 / $71.42	Professional		$41.60	$49.93	$71.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.28 / $20.29 / $28.70	Professional	26	$15.28	$20.29	$28.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.27 / $30.47 / $44.93	Professional	TC	$24.27	$30.47	$44.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.92 / $29.46 / $38.52	Professional		$22.92	$29.46	$38.52
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $481.30 / $481.30 / $481.30	Facility	26	$481.30	$481.30	$481.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $58.21 / $84.84	Professional		$43.50	$58.21	$84.84
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $16.07 / $20.90 / $33.71	Professional	26	$16.07	$20.90	$33.71
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $27.19 / $37.13 / $51.14	Professional	TC	$27.19	$37.13	$51.14
United Facility/Professional Professional Modifier Low / Median / High Price $34.06 / $43.29 / $64.90	Professional		$34.06	$43.29	$64.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $15.96 / $24.78	Professional	26	$12.59	$15.96	$24.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.73 / $26.52 / $40.11	Professional	TC	$20.73	$26.52	$40.11