Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $281.84 / $501.19	Professional		$199.53	$281.84	$501.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $74.13 / $138.04	Professional	26	$56.23	$74.13	$138.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $213.80 / $354.81	Professional	TC	$141.25	$213.80	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $323.59	Professional		$93.33	$93.33	$323.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.33 / $93.33 / $114.82	Facility	26	$93.33	$93.33	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $436.52 / $616.60	Professional		$245.47	$436.52	$616.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $72.44 / $165.96	Professional	26	$41.69	$72.44	$165.96
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 / $363.08 / $588.84	Professional		$346.74	$363.08	$588.84
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $93.33 / $93.33 / $114.82	Facility	26	$93.33	$93.33	$114.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $457.09 / $549.54	Professional		$302.00	$457.09	$549.54
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $93.33 / $134.90	Professional	26	$58.88	$93.33	$134.90
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $251.19 / $338.84	Professional	TC	$151.36	$251.19	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $316.23 / $478.63	Professional		$199.53	$316.23	$478.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $56.23 / $109.65	Professional	26	$54.95	$56.23	$109.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $245.47 / $389.05	Professional	TC	$144.54	$245.47	$389.05