Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $162.18	Professional		$87.10	$117.49	$162.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $14.13 / $19.05	Professional	26	$12.02	$14.13	$19.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $102.33 / $144.54	Professional	TC	$75.86	$102.33	$144.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $208.93	Professional		$123.03	$190.55	$208.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $21.88 / $24.55	Professional	26	$17.38	$21.88	$24.55
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $165.96 / $181.97	Professional	TC	$104.71	$165.96	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $141.25 / $194.98	Professional		$87.10	$141.25	$194.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $17.78 / $26.30	Professional	26	$11.75	$17.78	$26.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $125.89 / $165.96	Professional	TC	$75.86	$125.89	$165.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $269.15	Professional		$123.03	$173.78	$269.15
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $19.05 / $29.51	Professional	26	$15.85	$19.05	$29.51
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $154.88 / $239.88	Professional	TC	$102.33	$154.88	$239.88
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 $128.82 / $158.49 / $234.42	Professional		$128.82	$158.49	$234.42
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $21.88 / $28.84	Professional	26	$15.14	$21.88	$28.84
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $138.04 / $204.17	Professional	TC	$112.20	$138.04	$204.17
Select Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $123.03 / $208.93	Professional		$117.49	$123.03	$208.93
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $14.13 / $24.55	Professional	26	$13.49	$14.13	$24.55
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $109.65 / $181.97	Professional	TC	$102.33	$109.65	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $123.03 / $190.55	Professional		$83.18	$123.03	$190.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $17.38 / $23.99	Professional	26	$12.30	$17.38	$23.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $107.15 / $165.96	Professional	TC	$72.44	$107.15	$165.96