Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $74.13 / $77.62	Facility		$44.67	$74.13	$77.62
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.54 / $27.54 / $27.54	Facility	26	$27.54	$27.54	$27.54
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $17.38 / $83.18 / $83.18	Facility	TC	$17.38	$83.18	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.50 / $44.67	Professional		$12.88	$19.50	$44.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $13.80 / $38.02	Professional	26	$7.94	$13.80	$38.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.01 / $6.92 / $17.38	Professional	TC	$5.01	$6.92	$17.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $38.90 / $40.74	Professional		$34.67	$38.90	$40.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $23.44 / $24.55	Professional	26	$20.42	$23.44	$24.55
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.49 / $15.14 / $15.85	Professional	TC	$13.49	$15.14	$15.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $19.50	Professional		$16.60	$16.60	$19.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $10.00 / $12.02	Professional	26	$9.77	$10.00	$12.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $6.31 / $6.31 / $7.41	Professional	TC	$6.31	$6.31	$7.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $29.51 / $74.13	Facility		$13.49	$29.51	$74.13
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $27.54 / $27.54 / $27.54	Facility	26	$27.54	$27.54	$27.54
Moda Health Facility/Professional Facility Modifier TC Low / Median / High Price $17.38 / $83.18 / $83.18	Facility	TC	$17.38	$83.18	$83.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $34.67 / $36.31	Professional		$23.99	$34.67	$36.31
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $18.62 / $20.89	Professional	26	$14.45	$18.62	$20.89
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $9.33 / $14.45 / $15.49	Professional	TC	$9.33	$14.45	$15.49
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 $33.88 / $35.48 / $37.15	Professional		$33.88	$35.48	$37.15
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $20.89 / $21.88	Professional	26	$20.42	$20.89	$21.88
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $14.79 / $15.14	Professional	TC	$13.18	$14.79	$15.14
Select Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.62 / $35.48	Professional		$18.20	$18.62	$35.48
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $11.22 / $21.38	Professional	26	$10.96	$11.22	$21.38
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $7.24 / $7.59 / $14.13	Professional	TC	$7.24	$7.59	$14.13
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $13.18 / $30.90	Professional		$11.48	$13.18	$30.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $7.76 / $18.20	Professional	26	$7.08	$7.76	$18.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $4.27 / $5.37 / $11.75	Professional	TC	$4.27	$5.37	$11.75