Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $162.18 / $162.18 / $162.18	Facility	26	$162.18	$162.18	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $309.03 / $478.63	Professional		$234.42	$309.03	$478.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $74.13 / $134.90	Professional	26	$56.23	$74.13	$134.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $223.87 / $371.54	Professional	TC	$173.78	$223.87	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $398.11 / $501.19	Professional		$338.84	$398.11	$501.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $114.82 / $125.89	Professional	26	$97.72	$114.82	$125.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $281.84 / $331.13	Professional	TC	$239.88	$281.84	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $363.08 / $436.52	Professional		$269.15	$363.08	$436.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $95.50 / $117.49	Professional	26	$75.86	$95.50	$117.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $263.03 / $316.23	Professional	TC	$194.98	$263.03	$316.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $436.52 / $616.60	Professional		$363.08	$436.52	$616.60
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $104.71 / $169.82	Professional	26	$100.00	$104.71	$169.82
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $281.84 / $446.68	Professional	TC	$269.15	$281.84	$446.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $457.09 / $467.74	Professional		$398.11	$457.09	$467.74
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $123.03 / $125.89	Professional	26	$109.65	$123.03	$125.89
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $331.13 / $346.74	Professional	TC	$295.12	$331.13	$346.74
Select Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $831.76	Professional		$204.17	$204.17	$831.76
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $57.54 / $125.89	Professional	26	$57.54	$57.54	$125.89
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $147.91 / $309.03	Professional	TC	$147.91	$147.91	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $309.03 / $630.96	Professional		$199.53	$309.03	$630.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $60.26 / $123.03	Professional	26	$51.29	$60.26	$123.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $257.04 / $562.34	Professional	TC	$144.54	$257.04	$562.34