Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $138.04 / $426.58	Professional		$93.33	$138.04	$426.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $85.11 / $251.19	Professional	26	$56.23	$85.11	$251.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $56.23 / $89.13	Professional	TC	$31.62	$56.23	$89.13
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 $162.18 / $199.53 / $208.93	Professional		$162.18	$199.53	$208.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $117.49 / $123.03	Professional	26	$93.33	$117.49	$123.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $83.18 / $87.10	Professional	TC	$69.18	$83.18	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $151.36 / $199.53	Professional		$91.20	$151.36	$199.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $89.13 / $123.03	Professional	26	$60.26	$89.13	$123.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $53.70 / $70.79	Professional	TC	$27.54	$53.70	$70.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $173.78 / $208.93	Professional		$107.15	$173.78	$208.93
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $97.72 / $123.03	Professional	26	$63.10	$97.72	$123.03
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $64.57 / $91.20	Professional	TC	$46.77	$64.57	$91.20
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 $147.91 / $165.96 / $229.09	Professional		$147.91	$165.96	$229.09
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $97.72 / $141.25	Professional	26	$83.18	$97.72	$141.25
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $69.18 / $95.50	Professional	TC	$63.10	$69.18	$95.50
Select Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $97.72 / $169.82	Professional		$95.50	$97.72	$169.82
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $57.54 / $109.65	Professional	26	$57.54	$57.54	$109.65
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $41.69 / $70.79	Professional	TC	$41.69	$41.69	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $131.83 / $165.96	Professional		$95.50	$131.83	$165.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $87.10 / $109.65	Professional	26	$64.57	$87.10	$109.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $42.66 / $60.26	Professional	TC	$28.84	$42.66	$60.26