Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $338.84 / $724.44	Professional		$204.17	$338.84	$724.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $91.20 / $338.84	Professional	26	$57.54	$91.20	$338.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $245.47 / $389.05	Professional	TC	$144.54	$245.47	$389.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $316.23 / $316.23	Professional		$91.20	$316.23	$316.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.20 / $91.20 / $114.82	Facility	26	$91.20	$91.20	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $436.52 / $616.60	Professional		$251.19	$436.52	$616.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $79.43 / $173.78	Professional	26	$40.74	$79.43	$173.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $338.84 / $467.74	Professional	TC	$190.55	$338.84	$467.74
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $354.81 / $588.84	Professional		$346.74	$354.81	$588.84
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $91.20 / $91.20 / $114.82	Facility	26	$91.20	$91.20	$114.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $549.54	Professional		$295.12	$457.09	$549.54
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $91.20 / $134.90	Professional	26	$58.88	$91.20	$134.90
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $234.42 / $338.84	Professional	TC	$151.36	$234.42	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $323.59 / $478.63	Professional		$199.53	$323.59	$478.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $60.26 / $117.49	Professional	26	$60.26	$60.26	$117.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $245.47 / $389.05	Professional	TC	$141.25	$245.47	$389.05