Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $309.03 / $537.03	Professional		$186.21	$309.03	$537.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $89.13 / $316.23	Professional	26	$53.70	$89.13	$316.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $223.87 / $389.05	Professional	TC	$134.90	$223.87	$389.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $295.12	Professional		$83.18	$83.18	$295.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $83.18 / $102.33	Facility	26	$83.18	$83.18	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $346.74 / $645.65	Professional		$251.19	$346.74	$645.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $79.43 / $158.49	Professional	26	$38.90	$79.43	$158.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $269.15 / $467.74	Professional	TC	$190.55	$269.15	$467.74
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $331.13 / $588.84	Professional		$316.23	$331.13	$588.84
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $83.18 / $102.33	Facility	26	$83.18	$83.18	$102.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $446.68 / $501.19	Professional		$275.42	$446.68	$501.19
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $85.11 / $125.89	Professional	26	$52.48	$85.11	$125.89
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $229.09 / $338.84	Professional	TC	$138.04	$229.09	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $302.00 / $407.38	Professional		$194.98	$302.00	$407.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $60.26 / $104.71	Professional	26	$48.98	$60.26	$104.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $239.88 / $331.13	Professional	TC	$144.54	$239.88	$331.13