Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $199.53 / $199.53	Facility	26	$199.53	$199.53	$199.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $151.36 / $371.54	Professional	26	$91.20	$151.36	$371.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $134.90 / $199.53	Professional	26	$109.65	$134.90	$199.53
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility	26	$2,691.53	$2,691.53	$2,691.53
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $208.93 / $223.87	Professional	26	$134.90	$208.93	$223.87
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $229.09 / $954.99	Professional	26	$97.72	$229.09	$954.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $107.15 / $158.49	Professional	26	$81.28	$107.15	$158.49