Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.39 / $92.65 / $198.61	Facility	26	$20.39	$92.65	$198.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.34 / $61.67 / $168.31	Professional		$52.34	$61.67	$168.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.39 / $18.03 / $75.48	Professional	26	$16.39	$18.03	$75.48
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $200.26 / $200.26 / $200.26	Professional	50	$200.26	$200.26	$200.26
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $28.59 / $30.84 / $35.97	Professional	52	$28.59	$30.84	$35.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.89 / $41.28 / $51.58	Professional	TC	$37.89	$41.28	$51.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.47 / $79.65 / $130.68	Professional		$68.47	$79.65	$130.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.32 / $26.43 / $40.72	Professional	26	$21.32	$26.43	$40.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.29 / $53.19 / $91.12	Professional	TC	$47.29	$53.19	$91.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.09 / $29.82 / $40.74	Professional		$23.09	$29.82	$40.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $70.77 / $90.38 / $114.71	Professional		$70.77	$90.38	$114.71
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $20.66 / $29.01 / $38.56	Professional	26	$20.66	$29.01	$38.56
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $50.11 / $64.09 / $76.15	Professional	TC	$50.11	$64.09	$76.15
United Facility/Professional Professional Modifier Low / Median / High Price $52.34 / $70.80 / $101.68	Professional		$52.34	$70.80	$101.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.43 / $22.13 / $31.46	Professional	26	$16.43	$22.13	$31.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.20 / $53.60 / $73.59	Professional	TC	$37.20	$53.60	$73.59