Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $501.19 / $1,513.56	Professional		$295.12	$501.19	$1,513.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $138.04 / $323.59	Professional	26	$85.11	$138.04	$323.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $338.84 / $588.84	Professional	TC	$208.93	$338.84	$588.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $436.52	Professional		$131.83	$131.83	$436.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $131.83 / $131.83 / $162.18	Facility	26	$131.83	$131.83	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $602.56 / $891.25	Professional		$288.40	$602.56	$891.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $102.33 / $234.42	Professional	26	$58.88	$102.33	$234.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $457.09 / $724.44	Professional	TC	$213.80	$457.09	$724.44
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $501.19 / $891.25	Professional		$478.63	$501.19	$891.25
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $131.83 / $131.83 / $162.18	Facility	26	$131.83	$131.83	$162.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $630.96 / $812.83	Professional		$416.87	$630.96	$812.83
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $131.83 / $194.98	Professional	26	$81.28	$131.83	$194.98
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $309.03 / $512.86	Professional	TC	$204.17	$309.03	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $457.09 / $691.83	Professional		$269.15	$457.09	$691.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $77.62 / $151.36	Professional	26	$77.62	$77.62	$151.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $338.84 / $489.78	Professional	TC	$190.55	$338.84	$489.78