Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.88 / $26.88 / $130.12	Facility	26	$26.88	$26.88	$130.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.29 / $36.93 / $135.19	Professional		$30.29	$36.93	$135.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.10 / $24.53 / $91.75	Professional	26	$20.10	$24.53	$91.75
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.15 / $17.98 / $22.70	Professional	52	$15.15	$17.98	$22.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.18 / $12.46 / $16.73	Professional	TC	$10.18	$12.46	$16.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.38 / $46.86 / $63.58	Professional		$34.38	$46.86	$63.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.32 / $31.65 / $43.51	Professional	26	$22.32	$31.65	$43.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.82 / $14.72 / $22.16	Professional	TC	$11.82	$14.72	$22.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $29.37 / $38.81	Professional		$23.65	$29.37	$38.81
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $203.75 / $203.75 / $203.75	Facility	26	$203.75	$203.75	$203.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $43.69 / $71.78	Professional		$37.40	$43.69	$71.78
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $24.87 / $29.68 / $48.98	Professional	26	$24.87	$29.68	$48.98
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $13.37 / $15.73 / $22.81	Professional	TC	$13.37	$15.73	$22.81
United Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $36.10 / $55.55	Professional		$28.83	$36.10	$55.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $26.00 / $37.06	Professional	26	$19.50	$26.00	$37.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.60 / $12.60 / $17.80	Professional	TC	$9.60	$12.60	$17.80