Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $478.63 / $933.25	Professional		$295.12	$478.63	$933.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $114.82 / $239.88	Professional	26	$70.79	$114.82	$239.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $354.81 / $691.83	Professional	TC	$218.78	$354.81	$691.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $549.54	Professional		$109.65	$109.65	$549.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $109.65 / $134.90	Facility	26	$109.65	$109.65	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $537.03 / $812.83	Professional		$295.12	$537.03	$812.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $85.11 / $194.98	Professional	26	$48.98	$85.11	$194.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $436.52 / $616.60	Professional	TC	$229.09	$436.52	$616.60
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $489.78 / $707.95	Professional		$467.74	$489.78	$707.95
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $109.65 / $134.90	Facility	26	$109.65	$109.65	$134.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $616.60 / $758.58	Professional		$407.38	$616.60	$758.58
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $109.65 / $158.49	Professional	26	$67.61	$109.65	$158.49
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $323.59 / $478.63	Professional	TC	$208.93	$323.59	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $380.19 / $588.84	Professional		$269.15	$380.19	$588.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $64.57 / $125.89	Professional	26	$64.57	$64.57	$125.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $295.12 / $478.63	Professional	TC	$204.17	$295.12	$478.63