Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $117.49	Facility		$44.67	$44.67	$117.49
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $42.66 / $109.65	Facility	26	$42.66	$42.66	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $42.66 / $64.57	Professional		$10.00	$42.66	$64.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $40.74 / $60.26	Professional	26	$15.49	$40.74	$60.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $44.67 / $104.71	Facility		$38.02	$44.67	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $93.33 / $97.72	Professional		$83.18	$93.33	$97.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $87.10 / $91.20	Professional	26	$75.86	$87.10	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $6.46 / $12.88	Facility		$2.40	$6.46	$12.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $40.74 / $40.74	Professional	26	$40.74	$40.74	$40.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $50.12 / $72.44	Facility		$16.22	$50.12	$72.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $81.28 / $95.50	Professional		$53.70	$81.28	$95.50
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $75.86 / $89.13	Professional	26	$41.69	$75.86	$89.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $32.36 / $77.62	Professional		$30.20	$32.36	$77.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $67.61 / $81.28	Professional		$26.92	$67.61	$81.28
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $63.10 / $75.86	Professional	26	$26.92	$63.10	$75.86
Select Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $87.10	Professional		$44.67	$44.67	$87.10
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $42.66 / $83.18	Professional	26	$42.66	$42.66	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $27.54 / $45.71	Professional		$19.95	$27.54	$45.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $26.92 / $43.65	Professional	26	$19.95	$26.92	$43.65