Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $14.79 / $15.14	Facility	26	$14.13	$14.79	$15.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $66.07 / $218.78	Professional		$51.29	$66.07	$218.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.02 / $33.88	Professional	26	$7.94	$12.02	$33.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $53.70 / $102.33	Professional	TC	$44.67	$53.70	$102.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $104.71 / $109.65	Professional		$85.11	$104.71	$109.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $16.98 / $17.78	Professional	26	$13.49	$16.98	$17.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $87.10 / $93.33	Professional	TC	$72.44	$87.10	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $79.43 / $114.82	Professional		$53.70	$79.43	$114.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $12.88 / $18.20	Professional	26	$8.71	$12.88	$18.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $67.61 / $97.72	Professional	TC	$44.67	$67.61	$97.72
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $13.18 / $14.79 / $15.49	Facility	26	$13.18	$14.79	$15.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $100.00 / $125.89	Professional		$54.95	$100.00	$125.89
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $15.14 / $21.38	Professional	26	$8.32	$15.14	$21.38
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $89.13 / $107.15	Professional	TC	$50.12	$89.13	$107.15
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 Professional Modifier Low / Median / High Price $72.44 / $85.11 / $128.82	Professional		$72.44	$85.11	$128.82
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $12.88 / $19.50	Professional	26	$10.96	$12.88	$19.50
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $70.79 / $109.65	Professional	TC	$60.26	$70.79	$109.65
Select Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $58.88 / $100.00	Professional		$56.23	$58.88	$100.00
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $8.91 / $15.14	Professional	26	$8.32	$8.91	$15.14
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $50.12 / $77.62	Professional	TC	$43.65	$50.12	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $75.86 / $107.15	Professional		$54.95	$75.86	$107.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $12.02 / $16.98	Professional	26	$8.71	$12.02	$16.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $64.57 / $89.13	Professional	TC	$46.77	$64.57	$89.13