Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $77.62 / $77.62	Facility	26	$77.62	$77.62	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $42.66 / $117.49	Professional		$34.67	$42.66	$117.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $32.36 / $77.62	Professional	26	$21.88	$32.36	$77.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $14.13 / $39.81	Professional	TC	$12.02	$14.13	$39.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $109.65 / $114.82	Professional		$93.33	$109.65	$114.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $67.61 / $70.79	Professional	26	$60.26	$67.61	$70.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $40.74 / $42.66	Professional	TC	$35.48	$40.74	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $51.29	Professional		$43.65	$43.65	$51.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $28.84 / $34.67	Professional	26	$28.18	$28.84	$34.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $14.79 / $17.38	Professional	TC	$14.79	$14.79	$17.38
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $77.62 / $77.62	Facility	26	$77.62	$77.62	$77.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $95.50 / $100.00	Professional		$89.13	$95.50	$100.00
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $57.54 / $61.66	Professional	26	$54.95	$57.54	$61.66
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $34.67 / $38.90	Professional	TC	$21.88	$34.67	$38.90
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 $93.33 / $93.33 / $100.00	Professional		$93.33	$93.33	$100.00
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $60.26 / $63.10	Professional	26	$60.26	$60.26	$63.10
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $33.11 / $38.02	Professional	TC	$33.11	$33.11	$38.02
Select Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $97.72	Professional		$51.29	$51.29	$97.72
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $32.36 / $61.66	Professional	26	$32.36	$32.36	$61.66
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $19.05 / $37.15	Professional	TC	$19.05	$19.05	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $33.88 / $77.62	Professional		$31.62	$33.88	$77.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $22.39 / $51.29	Professional	26	$20.42	$22.39	$51.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.48 / $11.75 / $25.70	Professional	TC	$11.48	$11.75	$25.70