Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $309.03 / $676.08	Professional		$181.97	$309.03	$676.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $93.33 / $316.23	Professional	26	$58.88	$93.33	$316.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $204.17 / $371.54	Professional	TC	$120.23	$204.17	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $281.84	Professional		$93.33	$93.33	$281.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.33 / $93.33 / $117.49	Facility	26	$93.33	$93.33	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $354.81 / $501.19	Professional		$181.97	$354.81	$501.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $72.44 / $165.96	Professional	26	$41.69	$72.44	$165.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $269.15 / $363.08	Professional	TC	$123.03	$269.15	$363.08
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $316.23 / $467.74	Professional		$302.00	$316.23	$467.74
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $93.33 / $93.33 / $117.49	Facility	26	$93.33	$93.33	$117.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $407.38 / $489.78	Professional		$251.19	$407.38	$489.78
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $93.33 / $138.04	Professional	26	$58.88	$93.33	$138.04
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $186.21 / $281.84	Professional	TC	$117.49	$186.21	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $263.03 / $389.05	Professional		$165.96	$263.03	$389.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $56.23 / $109.65	Professional	26	$54.95	$56.23	$109.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $165.96 / $275.42	Professional	TC	$109.65	$165.96	$275.42