Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $112.20 / $354.81	Professional		$66.07	$112.20	$354.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $57.54 / $208.93	Professional	26	$40.74	$57.54	$208.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $43.65 / $74.13	Professional	TC	$23.99	$43.65	$74.13
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 $123.03 / $151.36 / $158.49	Professional		$123.03	$151.36	$158.49
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 $58.88 / $70.79 / $74.13	Professional	TC	$58.88	$70.79	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $114.82 / $151.36	Professional		$64.57	$114.82	$151.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $61.66 / $83.18	Professional	26	$40.74	$61.66	$83.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $46.77 / $60.26	Professional	TC	$21.88	$46.77	$60.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $128.82 / $158.49	Professional		$81.28	$128.82	$158.49
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $66.07 / $81.28	Professional	26	$45.71	$66.07	$81.28
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $52.48 / $75.86	Professional	TC	$38.90	$52.48	$75.86
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 $112.20 / $125.89 / $173.78	Professional		$112.20	$125.89	$173.78
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 $53.70 / $58.88 / $81.28	Professional	TC	$53.70	$58.88	$81.28
Select Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $81.28 / $128.82	Professional		$74.13	$81.28	$128.82
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 $34.67 / $34.67 / $60.26	Professional	TC	$34.67	$34.67	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $123.03	Professional		$67.61	$93.33	$123.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $58.88 / $74.13	Professional	26	$43.65	$58.88	$74.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $33.88 / $51.29	Professional	TC	$22.39	$33.88	$51.29