Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $588.84 / $1,737.80	Professional		$363.08	$588.84	$1,737.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $141.25 / $416.87	Professional	26	$77.62	$141.25	$416.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $371.54 / $758.58	Professional	TC	$263.03	$371.54	$758.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $512.86	Professional		$120.23	$120.23	$512.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.23 / $120.23 / $147.91	Facility	26	$120.23	$120.23	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $630.96 / $1,000.00	Professional		$346.74	$630.96	$1,000.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $91.20 / $213.80	Professional	26	$53.70	$91.20	$213.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $524.81 / $758.58	Professional	TC	$275.42	$524.81	$758.58
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $575.44 / $1,023.29	Professional		$549.54	$575.44	$1,023.29
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $120.23 / $120.23 / $147.91	Facility	26	$120.23	$120.23	$147.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $741.31 / $912.01	Professional		$489.78	$741.31	$912.01
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $120.23 / $173.78	Professional	26	$74.13	$120.23	$173.78
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $389.05 / $588.84	Professional	TC	$257.04	$389.05	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $676.08	Professional		$316.23	$457.09	$676.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $72.44 / $141.25	Professional	26	$70.79	$72.44	$141.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $363.08 / $562.34	Professional	TC	$245.47	$363.08	$562.34