Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $562.34 / $1,258.93	Professional		$398.11	$562.34	$1,258.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $213.80 / $758.58	Professional	26	$123.03	$213.80	$758.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $371.54 / $794.33	Professional	TC	$269.15	$371.54	$794.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $588.84	Professional		$190.55	$190.55	$588.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $190.55 / $190.55 / $234.42	Facility	26	$190.55	$190.55	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $741.31 / $1,122.02	Professional		$389.05	$741.31	$1,122.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $144.54 / $338.84	Professional	26	$85.11	$144.54	$338.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $575.44 / $776.25	Professional	TC	$275.42	$575.44	$776.25
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $660.69 / $1,047.13	Professional		$645.65	$660.69	$1,047.13
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $190.55 / $190.55 / $234.42	Facility	26	$190.55	$190.55	$234.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $851.14 / $1,047.13	Professional		$549.54	$851.14	$1,047.13
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $190.55 / $281.84	Professional	26	$117.49	$190.55	$281.84
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $398.11 / $602.56	Professional	TC	$263.03	$398.11	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $524.81 / $812.83	Professional		$363.08	$524.81	$812.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $117.49 / $218.78	Professional	26	$109.65	$117.49	$218.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $363.08 / $630.96	Professional	TC	$251.19	$363.08	$630.96