Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $316.23 / $346.74 / $407.38	Facility	26	$316.23	$346.74	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $371.54 / $630.96	Professional		$295.12	$371.54	$630.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $229.09 / $346.74	Professional	26	$147.91	$229.09	$346.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $147.91 / $281.84	Professional	TC	$138.04	$147.91	$281.84
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $660.69 / $660.69 / $660.69	Facility	26	$660.69	$660.69	$660.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $537.03 / $602.56	Professional		$457.09	$537.03	$602.56
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $245.47 / $288.40 / $309.03	Professional	26	$245.47	$288.40	$309.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $245.47 / $281.84	Professional	TC	$208.93	$245.47	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $426.58 / $549.54	Professional		$346.74	$426.58	$549.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $177.83 / $234.42 / $302.00	Professional	26	$177.83	$234.42	$302.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $194.98 / $245.47	Professional	TC	$162.18	$194.98	$245.47
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $316.23 / $346.74 / $346.74	Facility	26	$316.23	$346.74	$346.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $512.86 / $812.83	Professional		$371.54	$512.86	$812.83
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $186.21 / $263.03 / $426.58	Professional	26	$186.21	$263.03	$426.58
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $239.88 / $389.05	Professional	TC	$162.18	$239.88	$389.05
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 Facility Modifier 26 Low / Median / High Price $660.69 / $660.69 / $660.69	Facility	26	$660.69	$660.69	$660.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $575.44 / $588.84	Professional		$512.86	$575.44	$588.84
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $269.15 / $302.00 / $309.03	Professional	26	$269.15	$302.00	$309.03
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $269.15 / $281.84	Professional	TC	$239.88	$269.15	$281.84
Select Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $776.25	Professional		$269.15	$269.15	$776.25
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $144.54 / $144.54 / $323.59	Professional	26	$144.54	$144.54	$323.59
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $125.89 / $870.96	Professional	TC	$125.89	$125.89	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $354.81 / $575.44	Professional		$316.23	$354.81	$575.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $165.96 / $190.55 / $309.03	Professional	26	$165.96	$190.55	$309.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $165.96 / $269.15	Professional	TC	$147.91	$165.96	$269.15