Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $87.10 / $87.10	Facility		$31.62	$87.10	$87.10
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.55 / $9.55 / $9.55	Facility	26	$9.55	$9.55	$9.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $20.89 / $31.62	Professional		$8.91	$20.89	$31.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.00 / $4.79 / $9.55	Professional	26	$2.00	$4.79	$9.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $6.03 / $7.94 / $22.39	Professional	TC	$6.03	$7.94	$22.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $30.90 / $32.36	Professional		$26.92	$30.90	$32.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $8.32 / $8.71	Professional	26	$7.41	$8.32	$8.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $22.39 / $23.99	Professional	TC	$19.50	$22.39	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $13.80	Professional		$11.75	$11.75	$13.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.47 / $3.55 / $4.17	Professional	26	$3.47	$3.55	$4.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $8.13 / $8.13 / $9.55	Professional	TC	$8.13	$8.13	$9.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $25.70 / $87.10	Facility		$15.85	$25.70	$87.10
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $9.55 / $9.55 / $9.55	Facility	26	$9.55	$9.55	$9.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $28.84 / $30.20	Professional		$25.70	$28.84	$30.20
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $7.59 / $20.89	Professional	26	$6.46	$7.59	$20.89
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $20.89 / $22.39	Professional	TC	$18.20	$20.89	$22.39
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 $26.30 / $26.92 / $29.51	Professional		$26.30	$26.92	$29.51
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $7.41 / $7.94	Professional	26	$7.24	$7.41	$7.94
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $19.50 / $21.38	Professional	TC	$18.62	$19.50	$21.38
Select Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $15.14 / $36.31	Professional		$14.79	$15.14	$36.31
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $3.89 / $4.07 / $7.76	Professional	26	$3.89	$4.07	$7.76
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $10.72 / $10.96 / $28.84	Professional	TC	$10.72	$10.96	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $15.49 / $21.38	Professional		$9.55	$15.49	$21.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.63 / $2.82 / $6.61	Professional	26	$2.63	$2.82	$6.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $6.76 / $11.22 / $14.45	Professional	TC	$6.76	$11.22	$14.45