Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $426.58 / $1,258.93	Professional		$213.80	$426.58	$1,258.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $114.82 / $323.59	Professional	26	$69.18	$114.82	$323.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $295.12 / $588.84	Professional	TC	$144.54	$295.12	$588.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $316.23	Professional		$107.15	$107.15	$316.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $107.15 / $131.83	Facility	26	$107.15	$107.15	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $489.78 / $676.08	Professional		$302.00	$489.78	$676.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $83.18 / $194.98	Professional	26	$47.86	$83.18	$194.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $346.74 / $575.44	Professional	TC	$208.93	$346.74	$575.44
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $363.08 / $707.95	Professional		$346.74	$363.08	$707.95
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $107.15 / $131.83	Facility	26	$107.15	$107.15	$131.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $489.78 / $588.84	Professional		$302.00	$489.78	$588.84
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $107.15 / $158.49	Professional	26	$66.07	$107.15	$158.49
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $229.09 / $426.58	Professional	TC	$138.04	$229.09	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $363.08 / $562.34	Professional		$194.98	$363.08	$562.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $64.57 / $125.89	Professional	26	$63.10	$64.57	$125.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $234.42 / $426.58	Professional	TC	$131.83	$234.42	$426.58