Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $107.15 / $288.40	Professional		$61.66	$107.15	$288.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $54.95 / $107.15	Professional	26	$28.18	$54.95	$107.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $85.11 / $331.13 / $741.31	Professional	50	$85.11	$331.13	$741.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $72.44 / $134.90	Professional	TC	$54.95	$72.44	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $53.70 / $67.61	Facility	26	$53.70	$53.70	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $234.42	Professional		$114.82	$162.18	$234.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $53.70 / $81.28	Professional	26	$39.81	$53.70	$81.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $107.15 / $158.49	Professional	TC	$74.13	$107.15	$158.49
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $177.83 / $245.47	Professional		$173.78	$177.83	$245.47
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $53.70 / $67.61	Facility	26	$53.70	$53.70	$67.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $177.83 / $245.47	Professional		$134.90	$177.83	$245.47
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $53.70 / $72.44	Professional	26	$39.81	$53.70	$72.44
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $107.15 / $138.04	Professional	TC	$74.13	$107.15	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $112.20 / $186.21	Professional		$109.65	$112.20	$186.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $38.02 / $63.10	Professional	26	$37.15	$38.02	$63.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $72.44 / $120.23	Professional	TC	$70.79	$72.44	$120.23