Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $60.26 / $144.54	Professional		$32.36	$60.26	$144.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $26.92 / $52.48	Professional	26	$19.50	$26.92	$52.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.72 / $34.67 / $56.23	Professional	TC	$10.72	$34.67	$56.23
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 $81.28 / $97.72 / $104.71	Professional		$81.28	$97.72	$104.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $39.81 / $41.69	Professional	26	$32.36	$39.81	$41.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $58.88 / $61.66	Professional	TC	$50.12	$58.88	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $69.18 / $89.13	Professional		$32.36	$69.18	$89.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $30.90 / $40.74	Professional	26	$20.42	$30.90	$40.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.75 / $37.15 / $51.29	Professional	TC	$11.75	$37.15	$51.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $87.10 / $104.71	Professional		$52.48	$87.10	$104.71
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $30.90 / $40.74	Professional	26	$22.91	$30.90	$40.74
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $44.67 / $64.57	Professional	TC	$28.84	$44.67	$64.57
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 $74.13 / $83.18 / $114.82	Professional		$74.13	$83.18	$114.82
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $33.11 / $48.98	Professional	26	$28.84	$33.11	$48.98
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $50.12 / $67.61	Professional	TC	$44.67	$50.12	$67.61
Select Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $52.48 / $89.13	Professional		$48.98	$52.48	$89.13
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $19.95 / $36.31	Professional	26	$19.50	$19.95	$36.31
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $29.51 / $51.29	Professional	TC	$27.54	$29.51	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $51.29 / $81.28	Professional		$33.11	$51.29	$81.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $29.51 / $36.31	Professional	26	$21.38	$29.51	$36.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.47 / $16.98 / $40.74	Professional	TC	$10.47	$16.98	$40.74