Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $524.81 / $1,258.93	Professional		$363.08	$524.81	$1,258.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $141.25 / $407.38	Professional	26	$70.79	$141.25	$407.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $389.05 / $812.83	Professional	TC	$281.84	$389.05	$812.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $537.03	Professional		$109.65	$109.65	$537.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $109.65 / $134.90	Facility	26	$109.65	$109.65	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $812.83 / $1,258.93	Professional		$537.03	$812.83	$1,258.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $102.33 / $194.98	Professional	26	$51.29	$102.33	$194.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $426.58 / $676.08 / $1,122.02	Professional	TC	$426.58	$676.08	$1,122.02
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $602.56 / $1,202.26	Professional		$575.44	$602.56	$1,202.26
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $109.65 / $134.90	Facility	26	$109.65	$109.65	$134.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $851.14 / $977.24	Professional		$537.03	$851.14	$977.24
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $109.65 / $165.96	Professional	26	$69.18	$109.65	$165.96
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $467.74 / $831.76	Professional	TC	$281.84	$467.74	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $602.56 / $1,023.29	Professional		$323.59	$602.56	$1,023.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $77.62 / $134.90	Professional	26	$64.57	$77.62	$134.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $457.09 / $831.76	Professional	TC	$257.04	$457.09	$831.76