Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $57.54 / $131.83	Professional		$39.81	$57.54	$131.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $18.20 / $46.77	Professional	26	$15.14	$18.20	$46.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $31.62 / $83.18	Professional	TC	$23.99	$31.62	$83.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $158.49 / $165.96	Professional		$138.04	$158.49	$165.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $48.98 / $51.29	Professional	26	$42.66	$48.98	$51.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $109.65 / $114.82	Professional	TC	$95.50	$109.65	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $64.57	Professional		$54.95	$54.95	$64.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $20.89 / $24.55	Professional	26	$19.95	$20.89	$24.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $34.67 / $40.74	Professional	TC	$34.67	$34.67	$40.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $144.54 / $154.88	Professional		$125.89	$144.54	$154.88
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $41.69 / $44.67	Professional	26	$39.81	$41.69	$44.67
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $102.33 / $109.65	Professional	TC	$97.72	$102.33	$109.65
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 $107.15 / $125.89 / $141.25	Professional		$107.15	$125.89	$141.25
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $42.66 / $45.71	Professional	26	$41.69	$42.66	$45.71
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $83.18 / $100.00	Professional	TC	$64.57	$83.18	$100.00
Select Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $77.62 / $144.54	Professional		$75.86	$77.62	$144.54
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $23.44 / $43.65	Professional	26	$22.91	$23.44	$43.65
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $53.70 / $100.00	Professional	TC	$43.65	$53.70	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $41.69 / $83.18	Professional		$34.67	$41.69	$83.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $15.85 / $35.48	Professional	26	$14.45	$15.85	$35.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $25.70 / $56.23	Professional	TC	$19.95	$25.70	$56.23