Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $26.92 / $70.79	Facility	26	$22.91	$26.92	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $52.48 / $120.23	Professional		$33.11	$52.48	$120.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.02 / $30.90	Professional	26	$8.91	$12.02	$30.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $40.74 / $74.13	Professional	TC	$23.99	$40.74	$74.13
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $213.80 / $213.80 / $213.80	Facility	26	$213.80	$213.80	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $74.13 / $102.33	Professional		$63.10	$74.13	$102.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $20.42 / $28.18	Professional	26	$17.38	$20.42	$28.18
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 $44.67 / $63.10 / $81.28	Professional		$44.67	$63.10	$81.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $16.60 / $22.91	Professional	26	$11.22	$16.60	$22.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $44.67 / $58.88	Professional	TC	$29.51	$44.67	$58.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $190.55	Professional		$144.54	$144.54	$190.55
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $66.07 / $66.07	Professional	26	$66.07	$66.07	$66.07
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $77.62 / $123.03	Professional	TC	$77.62	$77.62	$123.03
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $26.92 / $70.79	Facility	26	$22.91	$26.92	$70.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $79.43 / $97.72	Professional		$45.71	$79.43	$97.72
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $20.42 / $28.84	Professional	26	$10.72	$20.42	$28.84
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $60.26 / $74.13	Professional	TC	$33.11	$60.26	$74.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $31.62 / $33.11	Professional		$8.51	$31.62	$33.11
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $213.80 / $213.80 / $213.80	Facility	26	$213.80	$213.80	$213.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $81.28 / $97.72	Professional		$67.61	$81.28	$97.72
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $21.38 / $26.92	Professional	26	$17.78	$21.38	$26.92
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $58.88 / $70.79	Professional	TC	$50.12	$58.88	$70.79
Select Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $39.81 / $97.72	Professional		$38.90	$39.81	$97.72
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $10.23 / $23.44	Professional	26	$10.23	$10.23	$23.44
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 $39.81 / $44.67 / $85.11	Professional		$39.81	$44.67	$85.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $12.02 / $22.91	Professional	26	$11.48	$12.02	$22.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $33.11 / $61.66	Professional	TC	$28.18	$33.11	$61.66