Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $141.25 / $331.13	Professional		$112.20	$141.25	$331.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $22.91 / $57.54	Professional	26	$19.05	$22.91	$57.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $213.80	Professional		$36.31	$36.31	$213.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $36.31 / $44.67	Facility	26	$36.31	$36.31	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $165.96 / $323.59	Professional		$95.50	$165.96	$323.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $32.36 / $60.26	Professional	26	$19.50	$32.36	$60.26
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $234.42 / $354.81	Professional		$181.97	$234.42	$354.81
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $36.31 / $44.67	Facility	26	$36.31	$36.31	$44.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $302.00 / $371.54	Professional		$158.49	$302.00	$371.54
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $36.31 / $52.48	Professional	26	$21.88	$36.31	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $128.82 / $218.78	Professional		$107.15	$128.82	$218.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $25.12 / $41.69	Professional	26	$23.99	$25.12	$41.69