Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.70 / $44.67	Professional		$19.95	$25.70	$44.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $20.89 / $26.92	Professional	26	$16.98	$20.89	$26.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $3.98 / $22.91	Professional	TC	$3.02	$3.98	$22.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $37.15 / $40.74	Professional		$28.84	$37.15	$40.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $30.90 / $34.67	Professional	26	$24.55	$30.90	$34.67
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $4.47 / $5.89 / $6.61	Professional	TC	$4.47	$5.89	$6.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.84 / $44.67	Professional		$19.05	$28.84	$44.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $25.12 / $37.15	Professional	26	$16.60	$25.12	$37.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.88 / $4.68 / $7.08	Professional	TC	$2.88	$4.68	$7.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $34.67 / $48.98	Professional		$27.54	$34.67	$48.98
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $26.30 / $40.74	Professional	26	$21.88	$26.30	$40.74
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.90 / $5.62 / $8.71	Professional	TC	$4.90	$5.62	$8.71
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 $25.70 / $37.15 / $50.12	Professional		$25.70	$37.15	$50.12
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $30.90 / $40.74	Professional	26	$20.89	$30.90	$40.74
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $4.79 / $5.37 / $8.71	Professional	TC	$4.79	$5.37	$8.71
Select Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $23.99 / $42.66	Professional		$22.91	$23.99	$42.66
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $19.95 / $34.67	Professional	26	$19.05	$19.95	$34.67
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $3.63 / $3.89 / $6.92	Professional	TC	$3.63	$3.89	$6.92
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $35.48 / $52.48	Professional		$25.70	$35.48	$52.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $23.99 / $33.88	Professional	26	$16.98	$23.99	$33.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.80 / $7.08 / $22.91	Professional	TC	$3.80	$7.08	$22.91