Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $37.15 / $128.82	Facility	26	$36.31	$37.15	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $41.69 / $104.71	Professional		$31.62	$41.69	$104.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $28.18 / $83.18	Professional	26	$20.89	$28.18	$83.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $12.88 / $25.12	Professional	TC	$10.00	$12.88	$25.12
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $218.78 / $218.78 / $218.78	Facility	26	$218.78	$218.78	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $66.07 / $69.18	Professional		$52.48	$66.07	$69.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $42.66 / $44.67	Professional	26	$33.88	$42.66	$44.67
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $23.44 / $24.55	Professional	TC	$18.62	$23.44	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $48.98 / $64.57	Professional		$33.11	$48.98	$64.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $33.88 / $44.67	Professional	26	$21.88	$33.88	$44.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $15.14 / $21.88	Professional	TC	$10.96	$15.14	$21.88
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $37.15 / $128.82	Facility	26	$36.31	$37.15	$128.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $61.66 / $74.13	Professional		$34.67	$61.66	$74.13
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $37.15 / $45.71	Professional	26	$22.91	$37.15	$45.71
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $21.88 / $28.84	Professional	TC	$12.02	$21.88	$28.84
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 $218.78 / $218.78 / $218.78	Facility	26	$218.78	$218.78	$218.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $51.29 / $72.44	Professional		$42.66	$51.29	$72.44
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $32.36 / $48.98	Professional	26	$27.54	$32.36	$48.98
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $17.38 / $23.99	Professional	TC	$14.79	$17.38	$23.99
Select Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $35.48 / $263.03	Professional		$33.88	$35.48	$263.03
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $21.88 / $38.02	Professional	26	$20.89	$21.88	$38.02
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $13.18 / $19.95	Professional	TC	$10.96	$13.18	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $46.77 / $64.57	Professional		$33.88	$46.77	$64.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $30.90 / $42.66	Professional	26	$21.88	$30.90	$42.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.48 / $15.14 / $20.42	Professional	TC	$11.48	$15.14	$20.42