Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $21.88 / $23.99	Facility	26	$18.62	$21.88	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $33.11 / $72.44	Professional		$19.05	$33.11	$72.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $12.02 / $33.11	Professional	26	$7.08	$12.02	$33.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $245.47 / $245.47 / $245.47	Professional	50	$245.47	$245.47	$245.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $21.88 / $40.74	Professional	TC	$12.02	$21.88	$40.74
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 $37.15 / $43.65 / $60.26	Professional		$37.15	$43.65	$60.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $16.22 / $22.91	Professional	26	$13.80	$16.22	$22.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $27.54 / $38.02	Professional	TC	$23.44	$27.54	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.02 / $60.26	Professional		$28.84	$38.02	$60.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $13.18 / $18.20	Professional	26	$9.12	$13.18	$18.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $24.55 / $42.66	Professional	TC	$18.20	$24.55	$42.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $288.40	Professional		$97.72	$97.72	$288.40
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $58.88 / $58.88	Professional	26	$41.69	$58.88	$58.88
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $39.81 / $245.47	Professional	TC	$39.81	$39.81	$245.47
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $21.88 / $21.88	Facility	26	$18.62	$21.88	$21.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $47.86 / $69.18	Professional		$25.70	$47.86	$69.18
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $16.98 / $23.44	Professional	26	$8.32	$16.98	$23.44
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $30.20 / $41.69	Professional	TC	$18.20	$30.20	$41.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $18.62 / $33.11	Professional		$6.92	$18.62	$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 $39.81 / $47.86 / $60.26	Professional		$39.81	$47.86	$60.26
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $17.38 / $21.88	Professional	26	$14.13	$17.38	$21.88
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $30.90 / $42.66	Professional	TC	$25.12	$30.90	$42.66
Select Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.99 / $56.23	Professional		$23.44	$23.99	$56.23
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $8.51 / $19.05	Professional	26	$8.51	$8.51	$19.05
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $16.60 / $33.88	Professional	TC	$14.45	$16.60	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $32.36 / $60.26	Professional		$28.18	$32.36	$60.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $9.55 / $18.62	Professional	26	$9.12	$9.55	$18.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $22.91 / $42.66	Professional	TC	$18.62	$22.91	$42.66