Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $89.13 / $288.40	Professional		$60.26	$89.13	$288.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $21.38 / $74.13	Professional	26	$12.88	$21.38	$74.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $56.23 / $125.89	Professional	TC	$40.74	$56.23	$125.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $97.72	Professional		$22.39	$22.39	$97.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.39 / $22.39 / $28.18	Facility	26	$22.39	$22.39	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $85.11 / $147.91	Professional		$52.48	$85.11	$147.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $22.39 / $39.81	Professional	26	$15.14	$22.39	$39.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $60.26 / $114.82	Professional	TC	$39.81	$60.26	$114.82
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $109.65 / $162.18	Professional		$93.33	$109.65	$162.18
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $22.39 / $22.39 / $28.18	Facility	26	$22.39	$22.39	$28.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $138.04 / $165.96	Professional		$79.43	$138.04	$165.96
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $23.44 / $33.88	Professional	26	$14.79	$23.44	$33.88
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $69.18 / $109.65	Professional	TC	$43.65	$69.18	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $64.57 / $107.15	Professional		$56.23	$64.57	$107.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $18.62 / $28.84	Professional	26	$15.49	$18.62	$28.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $45.71 / $79.43	Professional	TC	$38.90	$45.71	$79.43