Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $275.42 / $933.25	Professional		$162.18	$275.42	$933.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $87.10 / $302.00	Professional	26	$53.70	$87.10	$302.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $177.83 / $380.19	Professional	TC	$104.71	$177.83	$380.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $245.47 / $245.47	Professional		$83.18	$245.47	$245.47
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 $162.18 / $309.03 / $478.63	Professional		$162.18	$309.03	$478.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $74.13 / $147.91	Professional	26	$38.02	$74.13	$147.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $229.09 / $371.54	Professional	TC	$107.15	$229.09	$371.54
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $275.42 / $501.19	Professional		$269.15	$275.42	$501.19
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 $218.78 / $354.81 / $436.52	Professional		$218.78	$354.81	$436.52
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $83.18 / $125.89	Professional	26	$51.29	$83.18	$125.89
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $162.18 / $245.47	Professional	TC	$102.33	$162.18	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $257.04 / $354.81	Professional		$144.54	$257.04	$354.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $57.54 / $100.00	Professional	26	$48.98	$57.54	$100.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $165.96 / $269.15	Professional	TC	$95.50	$165.96	$269.15