Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $138.04 / $489.78	Professional		$74.13	$138.04	$489.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $42.66 / $97.72	Professional	26	$25.12	$42.66	$97.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $89.13 / $316.23	Professional	TC	$47.86	$89.13	$316.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $162.18	Professional		$42.66	$42.66	$162.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $42.66 / $52.48	Facility	26	$42.66	$42.66	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $158.49 / $316.23	Professional		$91.20	$158.49	$316.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $32.36 / $75.86	Professional	26	$19.50	$32.36	$75.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $93.33 / $199.53	Professional	TC	$63.10	$93.33	$199.53
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $177.83 / $263.03	Professional		$165.96	$177.83	$263.03
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $42.66 / $52.48	Facility	26	$42.66	$42.66	$52.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $229.09 / $275.42	Professional		$131.83	$229.09	$275.42
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $42.66 / $63.10	Professional	26	$26.30	$42.66	$63.10
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $117.49 / $173.78	Professional	TC	$66.07	$117.49	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $91.20 / $181.97	Professional		$81.28	$91.20	$181.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $25.12 / $48.98	Professional	26	$23.99	$25.12	$48.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $66.07 / $128.82	Professional	TC	$56.23	$66.07	$128.82