Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $478.63 / $1,230.27	Professional		$134.90	$478.63	$1,230.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $120.23 / $371.54	Professional	26	$61.66	$120.23	$371.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $338.84 / $616.60	Professional	TC	$186.21	$338.84	$616.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $363.08 / $363.08	Professional		$100.00	$363.08	$363.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $123.03	Facility	26	$100.00	$100.00	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $512.86 / $758.58	Professional		$331.13	$512.86	$758.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $75.86 / $177.83	Professional	26	$44.67	$75.86	$177.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $398.11 / $645.65	Professional	TC	$263.03	$398.11	$645.65
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $407.38 / $758.58	Professional		$389.05	$407.38	$758.58
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $123.03	Facility	26	$100.00	$100.00	$123.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $549.54 / $645.65	Professional		$338.84	$549.54	$645.65
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $100.00 / $144.54	Professional	26	$61.66	$100.00	$144.54
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $275.42 / $478.63	Professional	TC	$173.78	$275.42	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $398.11 / $616.60	Professional		$223.87	$398.11	$616.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $58.88 / $114.82	Professional	26	$58.88	$58.88	$114.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $295.12 / $489.78	Professional	TC	$162.18	$295.12	$489.78