Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $602.56 / $2,187.76	Professional		$371.54	$602.56	$2,187.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $141.25 / $398.11	Professional	26	$85.11	$141.25	$398.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $389.05 / $794.33	Professional	TC	$269.15	$389.05	$794.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $549.54	Professional		$131.83	$131.83	$549.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $131.83 / $131.83 / $162.18	Facility	26	$131.83	$131.83	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $588.84 / $1,023.29	Professional		$371.54	$588.84	$1,023.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $102.33 / $234.42	Professional	26	$58.88	$102.33	$234.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $501.19 / $794.33	Professional	TC	$288.40	$501.19	$794.33
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $616.60 / $870.96	Professional		$588.84	$616.60	$870.96
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $131.83 / $131.83 / $162.18	Facility	26	$131.83	$131.83	$162.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $794.33 / $954.99	Professional		$512.86	$794.33	$954.99
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $131.83 / $194.98	Professional	26	$81.28	$131.83	$194.98
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $416.87 / $616.60	Professional	TC	$275.42	$416.87	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $691.83	Professional		$331.13	$501.19	$691.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $79.43 / $154.88	Professional	26	$77.62	$79.43	$154.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $371.54 / $537.03	Professional	TC	$257.04	$371.54	$537.03