Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.23 / $23.99	Professional	26	$7.94	$10.23	$23.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $25.70 / $52.48	Professional	TC	$19.05	$25.70	$52.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $20.42 / $28.18	Professional	26	$16.98	$20.42	$28.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $47.86 / $66.07	Professional	TC	$40.74	$47.86	$66.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $16.22 / $21.88	Professional	26	$11.22	$16.22	$21.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $38.02 / $50.12	Professional	TC	$23.99	$38.02	$50.12
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $48.98 / $48.98	Professional	26	$40.74	$48.98	$48.98
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $51.29 / $70.79	Professional	TC	$51.29	$51.29	$70.79
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $19.50 / $22.91	Professional	26	$10.00	$19.50	$22.91
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $50.12 / $58.88	Professional	TC	$26.92	$50.12	$58.88
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $21.38 / $26.92	Professional	26	$16.98	$21.38	$26.92
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $53.70 / $63.10	Professional	TC	$39.81	$53.70	$63.10
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $10.00 / $23.44	Professional	26	$10.00	$10.00	$23.44
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $28.84 / $56.23	Professional	TC	$23.99	$28.84	$56.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $11.48 / $22.39	Professional	26	$10.47	$11.48	$22.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $27.54 / $53.70	Professional	TC	$26.30	$27.54	$53.70