Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.42 / $298.42 / $300.18	Professional		$298.42	$298.42	$300.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.23 / $149.68 / $682.34	Professional	26	$118.23	$149.68	$682.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $174.95 / $181.94 / $218.34	Professional	TC	$174.95	$181.94	$218.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.47 / $409.36 / $918.60	Professional		$148.47	$409.36	$918.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.14 / $167.71 / $339.88	Professional	26	$67.14	$167.71	$339.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $81.33 / $273.30 / $613.28	Professional	TC	$81.33	$273.30	$613.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $466.11 / $517.90 / $715.29	Professional		$466.11	$517.90	$715.29
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $150.10 / $166.78 / $252.80	Professional	26	$150.10	$166.78	$252.80
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $316.01 / $351.12 / $462.50	Professional	TC	$316.01	$351.12	$462.50
United Facility/Professional Professional Modifier Low / Median / High Price $256.60 / $284.43 / $577.75	Professional		$256.60	$284.43	$577.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.40 / $152.66 / $274.79	Professional	26	$85.40	$152.66	$274.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $165.00 / $275.00 / $495.00	Professional	TC	$165.00	$275.00	$495.00