Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $257.04 / $831.76	Professional		$134.90	$257.04	$831.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $57.54 / $234.42	Professional	26	$42.66	$57.54	$234.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $162.18 / $309.03	Professional	TC	$85.11	$162.18	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $208.93 / $208.93	Professional		$74.13	$208.93	$208.93
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $74.13 / $91.20	Facility	26	$74.13	$74.13	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $302.00 / $426.58	Professional		$162.18	$302.00	$426.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $66.07 / $131.83	Professional	26	$33.88	$66.07	$131.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $218.78 / $295.12	Professional	TC	$120.23	$218.78	$295.12
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $234.42 / $389.05	Professional		$223.87	$234.42	$389.05
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $74.13 / $91.20	Facility	26	$74.13	$74.13	$91.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $302.00 / $371.54	Professional		$194.98	$302.00	$371.54
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $74.13 / $107.15	Professional	26	$45.71	$74.13	$107.15
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $147.91 / $223.87	Professional	TC	$91.20	$147.91	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $218.78 / $323.59	Professional		$134.90	$218.78	$323.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $51.29 / $87.10	Professional	26	$43.65	$51.29	$87.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $158.49 / $239.88	Professional	TC	$91.20	$158.49	$239.88