Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $257.04 / $891.25	Professional		$138.04	$257.04	$891.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $72.44 / $239.88	Professional	26	$39.81	$72.44	$239.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $190.55 / $467.74	Professional	TC	$95.50	$190.55	$467.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $208.93 / $208.93	Professional		$63.10	$208.93	$208.93
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $63.10 / $77.62	Facility	26	$63.10	$63.10	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $257.04 / $457.09	Professional		$134.90	$257.04	$457.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $63.10 / $112.20	Professional	26	$29.51	$63.10	$112.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $190.55 / $302.00	Professional	TC	$95.50	$190.55	$302.00
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $229.09 / $354.81	Professional		$223.87	$229.09	$354.81
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $63.10 / $77.62	Facility	26	$63.10	$63.10	$77.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $302.00 / $371.54	Professional		$181.97	$302.00	$371.54
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $63.10 / $95.50	Professional	26	$38.90	$63.10	$95.50
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $144.54 / $218.78	Professional	TC	$89.13	$144.54	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $213.80 / $302.00	Professional		$120.23	$213.80	$302.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $46.77 / $77.62	Professional	26	$37.15	$46.77	$77.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $144.54 / $218.78	Professional	TC	$83.18	$144.54	$218.78