Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $38.02 / $38.90	Facility	26	$21.88	$38.02	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $37.15 / $81.28	Professional		$17.78	$37.15	$81.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $16.22 / $38.90	Professional	26	$7.41	$16.22	$38.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $23.99 / $50.12	Professional	TC	$10.96	$23.99	$50.12
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $933.25 / $933.25 / $933.25	Facility	26	$933.25	$933.25	$933.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $77.62 / $109.65	Professional		$66.07	$77.62	$109.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $28.18 / $39.81	Professional	26	$23.99	$28.18	$39.81
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $50.12 / $69.18	Professional	TC	$42.66	$50.12	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $52.48 / $77.62	Professional		$19.95	$52.48	$77.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $17.78 / $29.51	Professional	26	$8.91	$17.78	$29.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.47 / $28.18 / $48.98	Professional	TC	$10.47	$28.18	$48.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $87.10	Professional		$77.62	$77.62	$87.10
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $54.95 / $54.95	Professional	26	$54.95	$54.95	$54.95
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $22.91 / $31.62	Professional	TC	$22.91	$22.91	$31.62
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $38.02 / $47.86	Facility	26	$21.88	$38.02	$47.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $75.86 / $95.50	Professional		$25.70	$75.86	$95.50
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $25.70 / $33.88	Professional	26	$10.72	$25.70	$33.88
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $50.12 / $63.10	Professional	TC	$15.85	$50.12	$63.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $32.36 / $33.11	Professional		$12.02	$32.36	$33.11
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $933.25 / $933.25 / $933.25	Facility	26	$933.25	$933.25	$933.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $81.28 / $100.00	Professional		$33.88	$81.28	$100.00
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $30.20 / $38.02	Professional	26	$14.13	$30.20	$38.02
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $51.29 / $63.10	Professional	TC	$20.42	$51.29	$63.10
Select Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $39.81 / $100.00	Professional		$38.02	$39.81	$100.00
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $14.13 / $31.62	Professional	26	$14.13	$14.13	$31.62
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $26.92 / $891.25	Professional	TC	$24.55	$26.92	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $43.65 / $69.18	Professional		$18.62	$43.65	$69.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $16.22 / $25.70	Professional	26	$7.76	$16.22	$25.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $27.54 / $43.65	Professional	TC	$10.96	$27.54	$43.65