Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $524.81 / $2,089.30	Professional		$354.81	$524.81	$2,089.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $181.97 / $602.56	Professional	26	$104.71	$181.97	$602.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $346.74 / $794.33	Professional	TC	$239.88	$346.74	$794.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $512.86 / $512.86	Professional		$169.82	$512.86	$512.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $169.82 / $169.82 / $208.93	Facility	26	$169.82	$169.82	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $776.25 / $1,202.26	Professional		$346.74	$776.25	$1,202.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $134.90 / $302.00	Professional	26	$75.86	$134.90	$302.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $524.81 / $1,047.13	Professional	TC	$245.47	$524.81	$1,047.13
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $588.84 / $1,096.48	Professional		$562.34	$588.84	$1,096.48
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $169.82 / $169.82 / $208.93	Facility	26	$169.82	$169.82	$208.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $776.25 / $954.99	Professional		$489.78	$776.25	$954.99
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $169.82 / $251.19	Professional	26	$104.71	$169.82	$251.19
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $346.74 / $870.96	Professional	TC	$229.09	$346.74	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $549.54 / $933.25	Professional		$316.23	$549.54	$933.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $104.71 / $199.53	Professional	26	$100.00	$104.71	$199.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $389.05 / $707.95	Professional	TC	$218.78	$389.05	$707.95