Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $11.75 / $22.39	Facility	26	$10.47	$11.75	$22.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.88 / $74.13	Professional		$25.70	$33.88	$74.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $8.91 / $19.50	Professional	26	$6.03	$8.91	$19.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $24.55 / $54.95	Professional	TC	$19.05	$24.55	$54.95
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 $52.48 / $61.66 / $85.11	Professional		$52.48	$61.66	$85.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $15.85 / $21.88	Professional	26	$13.49	$15.85	$21.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $45.71 / $63.10	Professional	TC	$38.90	$45.71	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $46.77 / $61.66	Professional		$28.84	$46.77	$61.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $12.30 / $17.78	Professional	26	$8.71	$12.30	$17.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $33.88 / $44.67	Professional	TC	$19.50	$33.88	$44.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $100.00	Professional		$95.50	$95.50	$100.00
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $42.66 / $42.66	Professional	26	$42.66	$42.66	$42.66
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $51.29 / $58.88	Professional	TC	$51.29	$51.29	$58.88
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $17.78 / $25.70	Facility	26	$10.47	$17.78	$25.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $61.66 / $74.13	Professional		$30.20	$61.66	$74.13
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $15.85 / $18.62	Professional	26	$7.76	$15.85	$18.62
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $44.67 / $56.23	Professional	TC	$21.88	$44.67	$56.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $25.70 / $33.11	Professional		$6.61	$25.70	$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 $46.77 / $66.07 / $79.43	Professional		$46.77	$66.07	$79.43
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $15.85 / $19.95	Professional	26	$13.18	$15.85	$19.95
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $48.98 / $58.88	Professional	TC	$33.88	$48.98	$58.88
Select Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $32.36 / $79.43	Professional		$30.90	$32.36	$79.43
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $7.94 / $17.78	Professional	26	$7.94	$7.94	$17.78
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $25.70 / $173.78	Professional	TC	$23.44	$25.70	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $32.36 / $61.66	Professional		$30.90	$32.36	$61.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $9.12 / $17.78	Professional	26	$8.51	$9.12	$17.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $23.44 / $44.67	Professional	TC	$21.88	$23.44	$44.67