Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $63.10 / $95.50	Professional		$45.71	$63.10	$95.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $19.05 / $30.20	Professional	26	$12.88	$19.05	$30.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $44.67 / $64.57	Professional	TC	$30.90	$44.67	$64.57
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 $67.61 / $79.43 / $83.18	Professional		$67.61	$79.43	$83.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $26.92 / $28.18	Professional	26	$22.91	$26.92	$28.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $51.29 / $53.70	Professional	TC	$44.67	$51.29	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $72.44 / $102.33	Professional		$46.77	$72.44	$102.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $21.38 / $30.20	Professional	26	$13.80	$21.38	$30.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $47.86 / $67.61	Professional	TC	$31.62	$47.86	$67.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $66.07 / $79.43	Professional		$44.67	$66.07	$79.43
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $21.88 / $26.92	Professional	26	$14.79	$21.88	$26.92
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $43.65 / $52.48	Professional	TC	$29.51	$43.65	$52.48
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 $64.57 / $74.13 / $114.82	Professional		$64.57	$74.13	$114.82
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $22.91 / $33.88	Professional	26	$19.95	$22.91	$33.88
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $51.29 / $83.18	Professional	TC	$44.67	$51.29	$83.18
Select Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $57.54 / $95.50	Professional		$37.15	$57.54	$95.50
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $13.18 / $25.12	Professional	26	$12.88	$13.18	$25.12
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $24.55 / $51.29	Professional	TC	$23.99	$24.55	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $72.44 / $93.33	Professional		$53.70	$72.44	$93.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $21.38 / $26.92	Professional	26	$15.85	$21.38	$26.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $51.29 / $66.07	Professional	TC	$38.02	$51.29	$66.07