Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $467.74 / $851.14	Professional		$371.54	$467.74	$851.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $138.04 / $263.03	Professional	26	$107.15	$138.04	$263.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $331.13 / $602.56	Professional	TC	$245.47	$331.13	$602.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $575.44	Professional		$165.96	$165.96	$575.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $165.96 / $165.96 / $165.96	Facility	26	$165.96	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $512.86 / $575.44	Professional		$354.81	$512.86	$575.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $138.04 / $165.96 / $204.17	Professional	26	$138.04	$165.96	$204.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $398.11 / $416.87	Professional	TC	$218.78	$398.11	$416.87
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $630.96 / $707.95	Professional		$524.81	$630.96	$707.95
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $165.96 / $165.96 / $165.96	Facility	26	$165.96	$165.96	$165.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $537.03 / $776.25	Professional		$354.81	$537.03	$776.25
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $165.96 / $229.09	Professional	26	$107.15	$165.96	$229.09
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $380.19 / $549.54	Professional	TC	$257.04	$380.19	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $549.54 / $851.14	Professional		$467.74	$549.54	$851.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $154.88 / $181.97 / $263.03	Professional	26	$154.88	$181.97	$263.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $380.19 / $588.84	Professional	TC	$302.00	$380.19	$588.84