Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $562.34 / $2,187.76	Professional		$371.54	$562.34	$2,187.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $169.82 / $562.34	Professional	26	$95.50	$169.82	$562.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $371.54 / $891.25	Professional	TC	$269.15	$371.54	$891.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $549.54 / $549.54	Professional		$158.49	$549.54	$549.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $158.49 / $158.49 / $194.98	Facility	26	$158.49	$158.49	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $831.76 / $1,148.15	Professional		$446.68	$831.76	$1,148.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $120.23 / $281.84	Professional	26	$70.79	$120.23	$281.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $354.81 / $588.84 / $1,047.13	Professional	TC	$354.81	$588.84	$1,047.13
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $616.60 / $1,096.48	Professional		$588.84	$616.60	$1,096.48
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $158.49 / $158.49 / $194.98	Facility	26	$158.49	$158.49	$194.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $831.76 / $977.24	Professional		$524.81	$831.76	$977.24
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $158.49 / $234.42	Professional	26	$97.72	$158.49	$234.42
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $416.87 / $870.96	Professional	TC	$257.04	$416.87	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $562.34 / $1,000.00	Professional		$338.84	$562.34	$1,000.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $93.33 / $181.97	Professional	26	$93.33	$93.33	$181.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $436.52 / $724.44	Professional	TC	$245.47	$436.52	$724.44