Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $194.98 / $562.34	Professional		$138.04	$194.98	$562.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $85.11 / $229.09	Professional	26	$51.29	$85.11	$229.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $109.65 / $331.13	Professional	TC	$89.13	$109.65	$331.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $223.87	Professional		$79.43	$79.43	$223.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $79.43 / $97.72	Facility	26	$79.43	$79.43	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $199.53 / $426.58	Professional		$123.03	$199.53	$426.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $61.66 / $141.25	Professional	26	$35.48	$61.66	$141.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $123.03 / $263.03	Professional	TC	$81.28	$123.03	$263.03
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $245.47 / $269.15	Professional		$239.88	$245.47	$269.15
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $79.43 / $97.72	Facility	26	$79.43	$79.43	$97.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $323.59 / $380.19	Professional		$194.98	$323.59	$380.19
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $74.13 / $117.49	Professional	26	$48.98	$74.13	$117.49
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $131.83 / $204.17	Professional	TC	$93.33	$131.83	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $138.04 / $269.15	Professional		$131.83	$138.04	$269.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $47.86 / $91.20	Professional	26	$45.71	$47.86	$91.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $89.13 / $173.78	Professional	TC	$87.10	$89.13	$173.78