Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $87.10 / $120.23	Professional		$77.62	$87.10	$120.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $45.71 / $63.10	Professional	26	$39.81	$45.71	$63.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $43.65 / $63.10	Professional	TC	$37.15	$43.65	$63.10
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $269.15 / $269.15 / $269.15	Facility	26	$269.15	$269.15	$269.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $165.96 / $173.78	Professional		$131.83	$165.96	$173.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $85.11 / $89.13	Professional	26	$67.61	$85.11	$89.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $79.43 / $83.18	Professional	TC	$64.57	$79.43	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $138.04 / $169.82	Professional		$77.62	$138.04	$169.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $70.79 / $89.13	Professional	26	$47.86	$70.79	$89.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $66.07 / $81.28	Professional	TC	$36.31	$66.07	$81.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $158.49 / $181.97	Professional		$85.11	$158.49	$181.97
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $77.62 / $89.13	Professional	26	$44.67	$77.62	$89.13
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $81.28 / $91.20	Professional	TC	$37.15	$81.28	$91.20
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 $269.15 / $269.15 / $269.15	Facility	26	$269.15	$269.15	$269.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $194.98	Professional		$95.50	$128.82	$194.98
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $63.10 / $97.72	Professional	26	$46.77	$63.10	$97.72
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $64.57 / $97.72	Professional	TC	$47.86	$64.57	$97.72
Select Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $97.72 / $323.59	Professional		$85.11	$97.72	$323.59
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $42.66 / $79.43	Professional	26	$42.66	$42.66	$79.43
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $42.66 / $75.86	Professional	TC	$42.66	$42.66	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $165.96	Professional		$87.10	$123.03	$165.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $64.57 / $91.20	Professional	26	$46.77	$64.57	$91.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $57.54 / $77.62	Professional	TC	$40.74	$57.54	$77.62