Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.46 / $22.46 / $22.46	Facility	26	$22.46	$22.46	$22.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.52 / $79.06 / $364.52	Professional		$72.52	$79.06	$364.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.98 / $35.63 / $78.00	Professional	26	$19.98	$35.63	$78.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.16 / $56.59 / $127.46	Professional	TC	$53.16	$56.59	$127.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.55 / $67.55 / $67.55	Professional		$67.55	$67.55	$67.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.45 / $18.45 / $18.45	Professional	26	$18.45	$18.45	$18.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.10 / $49.10 / $49.10	Professional	TC	$49.10	$49.10	$49.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.29 / $57.90 / $77.63	Professional		$44.29	$57.90	$77.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $77.90 / $99.24 / $105.49	Professional		$77.90	$99.24	$105.49
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $21.02 / $28.19 / $29.96	Professional	26	$21.02	$28.19	$29.96
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $56.87 / $71.04 / $75.51	Professional	TC	$56.87	$71.04	$75.51
United Facility/Professional Professional Modifier Low / Median / High Price $84.70 / $123.41 / $142.71	Professional		$84.70	$123.41	$142.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.28 / $26.16 / $34.53	Professional	26	$22.28	$26.16	$34.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $55.58 / $84.66 / $120.56	Professional	TC	$55.58	$84.66	$120.56