Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.73 / $125.19 / $248.57	Professional		$123.73	$125.19	$248.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.29 / $81.83 / $220.57	Professional	26	$71.29	$81.83	$220.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.45 / $50.45 / $52.43	Professional	TC	$50.45	$50.45	$52.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.80 / $137.51 / $249.59	Professional		$66.80	$137.51	$249.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.35 / $99.36 / $208.80	Professional	26	$41.35	$99.36	$208.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.05 / $40.78 / $75.77	Professional	TC	$25.05	$40.78	$75.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $123.89 / $137.66 / $238.63	Professional		$123.89	$137.66	$238.63
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $91.93 / $102.14 / $150.25	Professional	26	$91.93	$102.14	$150.25
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $31.60 / $35.51 / $92.42	Professional	TC	$31.60	$35.51	$92.42
United Facility/Professional Professional Modifier Low / Median / High Price $70.59 / $117.65 / $219.47	Professional		$70.59	$117.65	$219.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.93 / $54.57 / $130.16	Professional	26	$53.93	$54.57	$130.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.02 / $30.50 / $58.01	Professional	TC	$16.02	$30.50	$58.01