Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $114.82 / $275.42	Professional		$89.13	$114.82	$275.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $74.13 / $173.78	Professional	TC	$57.54	$74.13	$173.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $173.78	Professional		$61.66	$61.66	$173.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $61.66 / $75.86	Facility	26	$61.66	$61.66	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $186.21 / $263.03	Professional		$91.20	$186.21	$263.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $128.82 / $177.83	Professional	TC	$58.88	$128.82	$177.83
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $190.55 / $281.84	Professional		$154.88	$190.55	$281.84
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $61.66 / $75.86	Facility	26	$61.66	$61.66	$75.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $245.47 / $295.12	Professional		$151.36	$245.47	$295.12
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $109.65 / $165.96	Professional	TC	$64.57	$109.65	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $186.21	Professional		$104.71	$138.04	$186.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $87.10 / $128.82	Professional	TC	$53.70	$87.10	$128.82