Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $132.40 / $132.40 / $132.40	Facility	26	$132.40	$132.40	$132.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $346.89 / $396.98 / $493.36	Professional	TC	$346.89	$396.98	$493.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $444.07 / $499.05 / $966.12	Professional	TC	$444.07	$499.05	$966.12
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,674.07 / $1,674.07 / $1,674.07	Facility	26	$1,674.07	$1,674.07	$1,674.07
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $494.21 / $603.44 / $713.33	Professional	TC	$494.21	$603.44	$713.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $347.82 / $489.58 / $644.49	Professional	TC	$347.82	$489.58	$644.49