Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.93 / $120.18 / $143.93	Professional		$119.93	$120.18	$143.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.07 / $67.14 / $292.26	Professional	26	$58.07	$67.14	$292.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.48 / $59.48 / $68.05	Professional	TC	$59.48	$59.48	$68.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.95 / $163.06 / $306.72	Professional		$61.95	$163.06	$306.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.31 / $85.00 / $147.72	Professional	26	$33.31	$85.00	$147.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.64 / $83.49 / $179.72	Professional	TC	$28.64	$83.49	$179.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $180.27 / $200.30 / $215.09	Professional		$180.27	$200.30	$215.09
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $72.54 / $80.59 / $118.27	Professional	26	$72.54	$80.59	$118.27
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $92.88 / $107.73 / $119.70	Professional	TC	$92.88	$107.73	$119.70
United Facility/Professional Professional Modifier Low / Median / High Price $93.23 / $157.35 / $283.23	Professional		$93.23	$157.35	$283.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.27 / $70.39 / $108.37	Professional	26	$41.27	$70.39	$108.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.76 / $56.53 / $144.00	Professional	TC	$48.76	$56.53	$144.00