Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $257.04 / $501.19	Professional		$125.89	$257.04	$501.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $85.11 / $323.59	Professional	26	$53.70	$85.11	$323.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $218.78 / $346.74	Professional	TC	$117.49	$218.78	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $269.15 / $269.15	Professional		$85.11	$269.15	$269.15
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 $204.17 / $323.59 / $524.81	Professional		$204.17	$323.59	$524.81
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 $154.88 / $257.04 / $380.19	Professional	TC	$154.88	$257.04	$380.19
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $302.00 / $549.54	Professional		$295.12	$302.00	$549.54
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 $251.19 / $389.05 / $478.63	Professional		$251.19	$389.05	$478.63
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 $123.03 / $204.17 / $275.42	Professional	TC	$123.03	$204.17	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $251.19 / $363.08	Professional		$165.96	$251.19	$363.08
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 $117.49 / $194.98 / $281.84	Professional	TC	$117.49	$194.98	$281.84