Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.77 / $159.77 / $159.77	Professional		$159.77	$159.77	$159.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.55 / $47.55 / $47.55	Professional	26	$47.55	$47.55	$47.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $112.23 / $112.23 / $112.23	Professional	TC	$112.23	$112.23	$112.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.30 / $199.23 / $279.44	Professional		$84.30	$199.23	$279.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.75 / $39.72 / $73.88	Professional	26	$25.75	$39.72	$73.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.55 / $152.69 / $239.71	Professional	TC	$58.55	$152.69	$239.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $174.06 / $241.00 / $262.95	Professional		$174.06	$241.00	$262.95
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $24.42 / $27.13 / $91.76	Professional	26	$24.42	$27.13	$91.76
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $135.76 / $197.64 / $227.43	Professional	TC	$135.76	$197.64	$227.43
United Facility/Professional Professional Modifier Low / Median / High Price $109.78 / $167.67 / $329.35	Professional		$109.78	$167.67	$329.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.47 / $28.16 / $81.15	Professional	26	$15.47	$28.16	$81.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.97 / $156.99 / $282.58	Professional	TC	$91.97	$156.99	$282.58