Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $251.19 / $724.44	Professional		$138.04	$251.19	$724.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $87.10 / $223.87	Professional	26	$53.70	$87.10	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $158.49 / $309.03	Professional	TC	$85.11	$158.49	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $218.78	Professional		$87.10	$87.10	$218.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $87.10 / $109.65	Facility	26	$87.10	$87.10	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $281.84 / $426.58	Professional		$144.54	$281.84	$426.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $67.61 / $158.49	Professional	26	$38.90	$67.61	$158.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $186.21 / $263.03	Professional	TC	$89.13	$186.21	$263.03
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $251.19 / $363.08	Professional		$239.88	$251.19	$363.08
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $87.10 / $109.65	Facility	26	$87.10	$87.10	$109.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $316.23 / $380.19	Professional		$194.98	$316.23	$380.19
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $87.10 / $128.82	Professional	26	$54.95	$87.10	$128.82
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $131.83 / $213.80	Professional	TC	$83.18	$131.83	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $208.93 / $316.23	Professional		$128.82	$208.93	$316.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $52.48 / $102.33	Professional	26	$51.29	$52.48	$102.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $131.83 / $194.98	Professional	TC	$75.86	$131.83	$194.98