Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $93.33	Professional		$44.67	$60.26	$93.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $34.67 / $52.48	Professional	26	$25.70	$34.67	$52.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $23.99 / $38.02	Professional	TC	$18.20	$23.99	$38.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $97.72 / $102.33	Professional		$85.11	$97.72	$102.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $57.54 / $60.26	Professional	26	$48.98	$57.54	$60.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $40.74 / $42.66	Professional	TC	$37.15	$40.74	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $77.62 / $107.15	Professional		$51.29	$77.62	$107.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $45.71 / $64.57	Professional	26	$30.20	$45.71	$64.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $31.62 / $42.66	Professional	TC	$20.89	$31.62	$42.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $83.18 / $128.82	Professional		$64.57	$83.18	$128.82
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $47.86 / $72.44	Professional	26	$38.90	$47.86	$72.44
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $36.31 / $56.23	Professional	TC	$25.70	$36.31	$56.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $85.11 / $123.03	Professional		$79.43	$85.11	$123.03
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $48.98 / $72.44	Professional	26	$46.77	$48.98	$72.44
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $35.48 / $51.29	Professional	TC	$32.36	$35.48	$51.29
Select Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $60.26 / $95.50	Professional		$57.54	$60.26	$95.50
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $34.67 / $57.54	Professional	26	$33.88	$34.67	$57.54
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $25.70 / $38.90	Professional	TC	$23.99	$25.70	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $72.44 / $100.00	Professional		$51.29	$72.44	$100.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $43.65 / $60.26	Professional	26	$30.90	$43.65	$60.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $29.51 / $40.74	Professional	TC	$20.89	$29.51	$40.74