Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $457.09 / $831.76	Professional		$245.47	$457.09	$831.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $120.23 / $204.17	Professional	26	$66.07	$120.23	$204.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $309.03 / $562.34	Professional	TC	$181.97	$309.03	$562.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $363.08	Professional		$100.00	$100.00	$363.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $123.03	Facility	26	$100.00	$100.00	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $512.86 / $741.31	Professional		$331.13	$512.86	$741.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $75.86 / $177.83	Professional	26	$44.67	$75.86	$177.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $407.38 / $645.65	Professional	TC	$269.15	$407.38	$645.65
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $416.87 / $758.58	Professional		$398.11	$416.87	$758.58
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $123.03	Facility	26	$100.00	$100.00	$123.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $549.54 / $660.69	Professional		$346.74	$549.54	$660.69
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $100.00 / $144.54	Professional	26	$61.66	$100.00	$144.54
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $281.84 / $478.63	Professional	TC	$177.83	$281.84	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $398.11 / $616.60	Professional		$223.87	$398.11	$616.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $58.88 / $114.82	Professional	26	$58.88	$58.88	$114.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $302.00 / $478.63	Professional	TC	$165.96	$302.00	$478.63