Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $316.23 / $707.95	Professional		$169.82	$316.23	$707.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $85.11 / $223.87	Professional	26	$54.95	$85.11	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $218.78 / $346.74	Professional	TC	$112.20	$218.78	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $275.42	Professional		$89.13	$89.13	$275.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $89.13 / $112.20	Facility	26	$89.13	$89.13	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $371.54 / $524.81	Professional		$208.93	$371.54	$524.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $69.18 / $162.18	Professional	26	$39.81	$69.18	$162.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $275.42 / $380.19	Professional	TC	$154.88	$275.42	$380.19
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $309.03 / $575.44	Professional		$295.12	$309.03	$575.44
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $89.13 / $112.20	Facility	26	$89.13	$89.13	$112.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $389.05 / $478.63	Professional		$257.04	$389.05	$478.63
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $89.13 / $131.83	Professional	26	$56.23	$89.13	$131.83
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $199.53 / $275.42	Professional	TC	$123.03	$199.53	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $263.03 / $389.05	Professional		$169.82	$263.03	$389.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $53.70 / $104.71	Professional	26	$52.48	$53.70	$104.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $199.53 / $309.03	Professional	TC	$114.82	$199.53	$309.03