Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $426.58 / $1,513.56	Professional		$263.03	$426.58	$1,513.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $109.65 / $426.58	Professional	26	$79.43	$109.65	$426.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $281.84 / $524.81	Professional	TC	$169.82	$281.84	$524.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $446.68	Professional		$128.82	$128.82	$446.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $128.82 / $158.49	Facility	26	$128.82	$128.82	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $524.81 / $870.96	Professional		$295.12	$524.81	$870.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $100.00 / $229.09	Professional	26	$57.54	$100.00	$229.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $426.58 / $707.95	Professional	TC	$213.80	$426.58	$707.95
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $489.78 / $741.31	Professional		$478.63	$489.78	$741.31
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $128.82 / $158.49	Facility	26	$128.82	$128.82	$158.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $645.65 / $776.25	Professional		$389.05	$645.65	$776.25
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $128.82 / $190.55	Professional	26	$79.43	$128.82	$190.55
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $316.23 / $478.63	Professional	TC	$199.53	$316.23	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $457.09 / $645.65	Professional		$257.04	$457.09	$645.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $77.62 / $151.36	Professional	26	$75.86	$77.62	$151.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $309.03 / $549.54	Professional	TC	$177.83	$309.03	$549.54