Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.79 / $4.79 / $4.79	Facility	26	$4.79	$4.79	$4.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $23.99 / $36.31	Professional		$12.88	$23.99	$36.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.00 / $4.79 / $14.13	Professional	26	$2.00	$4.79	$14.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $19.05 / $28.18	Professional	TC	$10.96	$19.05	$28.18
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $107.15 / $107.15	Facility	26	$107.15	$107.15	$107.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $27.54 / $28.84	Professional		$22.91	$27.54	$28.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $4.17 / $5.01 / $5.25	Professional	26	$4.17	$5.01	$5.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $22.39 / $23.99	Professional	TC	$18.62	$22.39	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $26.92 / $46.77	Professional		$15.85	$26.92	$46.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.95 / $5.75 / $10.72	Professional	26	$2.95	$5.75	$10.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $20.42 / $36.31	Professional	TC	$13.18	$20.42	$36.31
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $4.79 / $4.79 / $4.79	Facility	26	$4.79	$4.79	$4.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $26.92 / $35.48	Professional		$18.20	$26.92	$35.48
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $3.02 / $4.68 / $7.94	Professional	26	$3.02	$4.68	$7.94
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $23.44 / $30.90	Professional	TC	$15.49	$23.44	$30.90
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 $107.15 / $107.15 / $107.15	Facility	26	$107.15	$107.15	$107.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $22.39 / $41.69	Professional		$18.62	$22.39	$41.69
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $3.39 / $4.17 / $8.71	Professional	26	$3.39	$4.17	$8.71
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $18.62 / $33.11	Professional	TC	$15.49	$18.62	$33.11
Select Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $16.60 / $151.36	Professional		$14.79	$16.60	$151.36
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $2.45 / $2.45 / $5.13	Professional	26	$2.45	$2.45	$5.13
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $12.59 / $22.91	Professional	TC	$10.96	$12.59	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $31.62 / $42.66	Professional		$20.42	$31.62	$42.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.98 / $6.76 / $9.33	Professional	26	$3.98	$6.76	$9.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $25.12 / $33.88	Professional	TC	$16.22	$25.12	$33.88