Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $302.00 / $794.33	Professional		$190.55	$302.00	$794.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $75.86 / $257.04	Professional	26	$53.70	$75.86	$257.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $223.87 / $457.09	Professional	TC	$147.91	$223.87	$457.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $323.59	Professional		$85.11	$85.11	$323.59
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 $213.80 / $323.59 / $588.84	Professional		$213.80	$323.59	$588.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $66.07 / $151.36	Professional	26	$38.02	$66.07	$151.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $257.04 / $436.52	Professional	TC	$158.49	$257.04	$436.52
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $371.54 / $575.44	Professional		$354.81	$371.54	$575.44
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 $288.40 / $467.74 / $562.34	Professional		$288.40	$467.74	$562.34
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 $151.36 / $239.88 / $363.08	Professional	TC	$151.36	$239.88	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $251.19 / $398.11	Professional		$190.55	$251.19	$398.11
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 $141.25 / $199.53 / $295.12	Professional	TC	$141.25	$199.53	$295.12