Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $354.81 / $954.99	Professional		$245.47	$354.81	$954.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $93.33 / $354.81	Professional	26	$58.88	$93.33	$354.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $281.84 / $489.78	Professional	TC	$173.78	$281.84	$489.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $380.19 / $380.19	Professional		$93.33	$380.19	$380.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.33 / $93.33 / $117.49	Facility	26	$93.33	$93.33	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $380.19 / $660.69	Professional		$245.47	$380.19	$660.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $72.44 / $169.82	Professional	26	$41.69	$72.44	$169.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $281.84 / $489.78	Professional	TC	$186.21	$281.84	$489.78
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $416.87 / $588.84	Professional		$380.19	$416.87	$588.84
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $93.33 / $93.33 / $117.49	Facility	26	$93.33	$93.33	$117.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $537.03 / $660.69	Professional		$316.23	$537.03	$660.69
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $93.33 / $138.04	Professional	26	$58.88	$93.33	$138.04
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $275.42 / $426.58	Professional	TC	$181.97	$275.42	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $436.52	Professional		$213.80	$281.84	$436.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $56.23 / $109.65	Professional	26	$54.95	$56.23	$109.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $223.87 / $331.13	Professional	TC	$151.36	$223.87	$331.13