Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.48 / $11.48 / $23.99	Facility	26	$11.48	$11.48	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $37.15 / $87.10	Professional		$28.84	$37.15	$87.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $8.91 / $20.89	Professional	26	$7.08	$8.91	$20.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $28.18 / $66.07	Professional	TC	$21.88	$28.18	$66.07
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $158.49 / $158.49 / $158.49	Facility	26	$158.49	$158.49	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $97.72	Professional		$60.26	$70.79	$97.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $16.60 / $22.91	Professional	26	$13.80	$16.60	$22.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $53.70 / $74.13	Professional	TC	$45.71	$53.70	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $54.95 / $70.79	Professional		$30.90	$54.95	$70.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $13.18 / $18.20	Professional	26	$9.12	$13.18	$18.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $40.74 / $53.70	Professional	TC	$20.89	$40.74	$53.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $95.50	Professional		$85.11	$85.11	$95.50
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $33.88 / $33.88	Professional	26	$28.18	$33.88	$33.88
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $51.29 / $66.07	Professional	TC	$51.29	$51.29	$66.07
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $11.48 / $11.48 / $11.48	Facility	26	$11.48	$11.48	$11.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $75.86 / $89.13	Professional		$36.31	$75.86	$89.13
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $16.98 / $20.42	Professional	26	$8.32	$16.98	$20.42
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $57.54 / $69.18	Professional	TC	$26.92	$57.54	$69.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $29.51 / $33.11	Professional		$6.92	$29.51	$33.11
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $158.49 / $158.49 / $158.49	Facility	26	$158.49	$158.49	$158.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $75.86 / $93.33	Professional		$53.70	$75.86	$93.33
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $17.38 / $21.88	Professional	26	$14.45	$17.38	$21.88
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $58.88 / $70.79	Professional	TC	$40.74	$58.88	$70.79
Select Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $38.02 / $93.33	Professional		$37.15	$38.02	$93.33
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $8.71 / $19.05	Professional	26	$8.71	$8.71	$19.05
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $33.11 / $63.10	Professional	TC	$28.84	$33.11	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $37.15 / $72.44	Professional		$33.11	$37.15	$72.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $9.33 / $18.62	Professional	26	$8.91	$9.33	$18.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $27.54 / $53.70	Professional	TC	$23.44	$27.54	$53.70