Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $239.88	Professional		$72.44	$107.15	$239.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $57.54 / $204.17	Professional	26	$42.66	$57.54	$204.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $50.12 / $81.28	Professional	TC	$26.92	$50.12	$81.28
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $72.44 / $72.44	Facility	26	$72.44	$72.44	$72.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $162.18 / $165.96	Professional		$131.83	$162.18	$165.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $79.43 / $83.18	Professional	26	$64.57	$79.43	$83.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $77.62 / $81.28	Professional	TC	$66.07	$77.62	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $120.23 / $154.88	Professional		$69.18	$120.23	$154.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $63.10 / $87.10	Professional	26	$40.74	$63.10	$87.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $51.29 / $67.61	Professional	TC	$23.99	$51.29	$67.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $134.90 / $165.96	Professional		$87.10	$134.90	$165.96
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $67.61 / $81.28	Professional	26	$45.71	$67.61	$81.28
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $61.66 / $85.11	Professional	TC	$42.66	$61.66	$85.11
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 Facility Modifier 26 Low / Median / High Price $72.44 / $72.44 / $72.44	Facility	26	$72.44	$72.44	$72.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $131.83 / $181.97	Professional		$117.49	$131.83	$181.97
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $66.07 / $95.50	Professional	26	$56.23	$66.07	$95.50
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $64.57 / $89.13	Professional	TC	$58.88	$64.57	$89.13
Select Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $83.18 / $134.90	Professional		$77.62	$83.18	$134.90
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $39.81 / $74.13	Professional	26	$38.90	$39.81	$74.13
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $38.90 / $67.61	Professional	TC	$38.90	$38.90	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $100.00 / $128.82	Professional		$72.44	$100.00	$128.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $61.66 / $79.43	Professional	26	$45.71	$61.66	$79.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $37.15 / $56.23	Professional	TC	$25.12	$37.15	$56.23