Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $338.84 / $1,174.90	Professional		$234.42	$338.84	$1,174.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $85.11 / $281.84	Professional	26	$53.70	$85.11	$281.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $245.47 / $446.68	Professional	TC	$173.78	$245.47	$446.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $371.54	Professional		$85.11	$85.11	$371.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $85.11 / $107.15	Facility	26	$85.11	$85.11	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $371.54 / $645.65	Professional		$218.78	$371.54	$645.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $69.18 / $151.36	Professional	26	$38.02	$69.18	$151.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $281.84 / $489.78	Professional	TC	$177.83	$281.84	$489.78
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $407.38 / $588.84	Professional		$371.54	$407.38	$588.84
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $85.11 / $107.15	Facility	26	$85.11	$85.11	$107.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $524.81 / $660.69	Professional		$316.23	$524.81	$660.69
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $85.11 / $125.89	Professional	26	$52.48	$85.11	$125.89
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $275.42 / $426.58	Professional	TC	$181.97	$275.42	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $251.19 / $436.52	Professional		$208.93	$251.19	$436.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $51.29 / $100.00	Professional	26	$50.12	$51.29	$100.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $199.53 / $331.13	Professional	TC	$151.36	$199.53	$331.13