Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $16.98 / $20.42	Facility	26	$10.00	$16.98	$20.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.92 / $58.88	Professional		$19.05	$26.92	$58.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $8.13 / $21.38	Professional	26	$6.03	$8.13	$21.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $16.98 / $36.31	Professional	TC	$12.88	$16.98	$36.31
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 $38.02 / $44.67 / $61.66	Professional		$38.02	$44.67	$61.66
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $14.45 / $20.42	Professional	26	$12.30	$14.45	$20.42
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $29.51 / $41.69	Professional	TC	$25.12	$29.51	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $34.67 / $45.71	Professional		$23.44	$34.67	$45.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $11.75 / $15.49	Professional	26	$7.59	$11.75	$15.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $22.91 / $30.20	Professional	TC	$14.79	$22.91	$30.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $67.61 / $67.61	Professional		$61.66	$67.61	$67.61
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $38.90 / $39.81	Professional	26	$38.90	$38.90	$39.81
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $28.18 / $28.18	Professional	TC	$21.38	$28.18	$28.18
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $19.50 / $19.50	Facility	26	$16.98	$19.50	$19.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $44.67 / $56.23	Professional		$23.99	$44.67	$56.23
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $14.45 / $18.62	Professional	26	$7.24	$14.45	$18.62
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $30.20 / $35.48	Professional	TC	$16.98	$30.20	$35.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $18.62 / $33.11	Professional		$6.17	$18.62	$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 $38.02 / $48.98 / $58.88	Professional		$38.02	$48.98	$58.88
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $15.49 / $19.05	Professional	26	$12.30	$15.49	$19.05
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $33.11 / $39.81	Professional	TC	$25.70	$33.11	$39.81
Select Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $22.39 / $58.88	Professional		$21.88	$22.39	$58.88
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $7.41 / $16.98	Professional	26	$7.41	$7.41	$16.98
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $18.20 / $34.67	Professional	TC	$14.45	$18.20	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $25.12 / $48.98	Professional		$23.44	$25.12	$48.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $8.32 / $15.85	Professional	26	$7.41	$8.32	$15.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $16.98 / $32.36	Professional	TC	$15.85	$16.98	$32.36