Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.20 / $14.20 / $22.53	Facility	26	$14.20	$14.20	$22.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.79 / $58.98 / $256.00	Professional		$49.79	$58.98	$256.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.83 / $14.20 / $54.00	Professional	26	$10.83	$14.20	$54.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $24.90 / $28.40 / $37.65	Professional	52	$24.90	$28.40	$37.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.96 / $45.03 / $60.32	Professional	TC	$38.96	$45.03	$60.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.58 / $73.76 / $101.76	Professional		$57.58	$73.76	$101.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.71 / $17.05 / $24.72	Professional	26	$12.71	$17.05	$24.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.39 / $55.99 / $79.68	Professional	TC	$44.39	$55.99	$79.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $29.46 / $38.81	Professional		$23.65	$29.46	$38.81
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 $61.43 / $83.58 / $113.91	Professional		$61.43	$83.58	$113.91
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $13.39 / $17.41 / $28.13	Professional	26	$13.39	$17.41	$28.13
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $48.08 / $64.23 / $85.81	Professional	TC	$48.08	$64.23	$85.81
United Facility/Professional Professional Modifier Low / Median / High Price $46.81 / $58.46 / $89.49	Professional		$46.81	$58.46	$89.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.50 / $13.65 / $20.65	Professional	26	$10.50	$13.65	$20.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.74 / $45.24 / $68.86	Professional	TC	$36.74	$45.24	$68.86