Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $2,884.03 / $2,884.03	Facility	26	$199.53	$2,884.03	$2,884.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $151.36 / $213.80	Professional	26	$83.18	$151.36	$213.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $128.82 / $190.55	Professional	26	$102.33	$128.82	$190.55
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Facility	26	$4,073.80	$4,073.80	$4,073.80
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $165.96 / $199.53	Professional	26	$128.82	$165.96	$199.53
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $138.04 / $229.09	Professional	26	$87.10	$138.04	$229.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $102.33 / $158.49	Professional	26	$75.86	$102.33	$158.49