Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $26.92 / $26.92	Facility	26	$26.92	$26.92	$26.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $20.89 / $36.31	Professional		$14.13	$20.89	$36.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.00 / $21.88	Professional	26	$7.94	$10.00	$21.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $6.03 / $10.00 / $16.22	Professional	TC	$6.03	$10.00	$16.22
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 $29.51 / $34.67 / $48.98	Professional		$29.51	$34.67	$48.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $19.05 / $26.30	Professional	26	$16.22	$19.05	$26.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.49 / $15.85 / $22.39	Professional	TC	$13.49	$15.85	$22.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $28.84 / $39.81	Professional		$20.42	$28.84	$39.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $15.14 / $21.38	Professional	26	$11.22	$15.14	$21.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $8.71 / $12.88 / $20.89	Professional	TC	$8.71	$12.88	$20.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $177.83	Professional		$117.49	$117.49	$177.83
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $69.18 / $69.18	Professional	26	$69.18	$69.18	$69.18
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $47.86 / $109.65	Professional	TC	$47.86	$47.86	$109.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $37.15 / $51.29	Professional		$19.05	$37.15	$51.29
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $19.95 / $28.18	Professional	26	$9.77	$19.95	$28.18
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $9.55 / $16.60 / $26.30	Professional	TC	$9.55	$16.60	$26.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $14.79 / $33.11	Professional		$6.76	$14.79	$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 $30.20 / $37.15 / $43.65	Professional		$30.20	$37.15	$43.65
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $19.50 / $24.55	Professional	26	$15.85	$19.50	$24.55
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $17.38 / $20.42	Professional	TC	$14.45	$17.38	$20.42
Select Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $43.65	Professional		$18.20	$18.20	$43.65
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $9.55 / $21.38	Professional	26	$9.55	$9.55	$21.38
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $8.51 / $9.12 / $177.83	Professional	TC	$8.51	$9.12	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $21.38 / $43.65	Professional		$19.50	$21.38	$43.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $11.48 / $21.88	Professional	26	$10.47	$11.48	$21.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.71 / $10.96 / $20.89	Professional	TC	$8.71	$10.96	$20.89