Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $47.86 / $123.03	Professional		$46.77	$47.86	$123.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $16.98 / $47.86	Professional	26	$12.02	$16.98	$47.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $33.11 / $75.86	Professional	TC	$30.90	$33.11	$75.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $125.89 / $131.83	Professional		$112.20	$125.89	$131.83
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 $69.18 / $75.86 / $81.28	Professional	TC	$69.18	$75.86	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $66.07	Professional		$56.23	$56.23	$66.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $21.38 / $25.12	Professional	26	$20.42	$21.38	$25.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $35.48 / $41.69	Professional	TC	$35.48	$35.48	$41.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $112.20 / $117.49	Professional		$104.71	$112.20	$117.49
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $41.69 / $43.65	Professional	26	$38.90	$41.69	$43.65
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $66.07 / $74.13	Professional	TC	$66.07	$66.07	$74.13
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 $114.82 / $120.23 / $128.82	Professional		$114.82	$120.23	$128.82
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $43.65 / $45.71	Professional	26	$42.66	$43.65	$45.71
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $75.86 / $81.28	Professional	TC	$70.79	$75.86	$81.28
Select Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $60.26 / $114.82	Professional		$58.88	$60.26	$114.82
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 $36.31 / $36.31 / $70.79	Professional	TC	$36.31	$36.31	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $44.67 / $75.86	Professional		$34.67	$44.67	$75.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $16.60 / $27.54	Professional	26	$12.02	$16.60	$27.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $28.18 / $46.77	Professional	TC	$22.39	$28.18	$46.77