Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $234.42 / $588.84	Professional		$128.82	$234.42	$588.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $95.50 / $208.93	Professional	26	$42.66	$95.50	$208.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $102.33 / $245.47	Professional	TC	$72.44	$102.33	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $213.80 / $213.80	Professional		$74.13	$213.80	$213.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $74.13 / $91.20	Facility	26	$74.13	$74.13	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $213.80 / $309.03	Professional		$131.83	$213.80	$309.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $74.13 / $109.65	Professional	26	$48.98	$74.13	$109.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $141.25 / $204.17	Professional	TC	$85.11	$141.25	$204.17
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $239.88 / $316.23	Professional		$234.42	$239.88	$316.23
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $74.13 / $91.20	Facility	26	$74.13	$74.13	$91.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $234.42 / $323.59	Professional		$169.82	$234.42	$323.59
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $74.13 / $97.72	Professional	26	$48.98	$74.13	$97.72
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $141.25 / $199.53	Professional	TC	$93.33	$141.25	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $144.54 / $239.88	Professional		$141.25	$144.54	$239.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $51.29 / $85.11	Professional	26	$50.12	$51.29	$85.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $95.50 / $154.88	Professional	TC	$91.20	$95.50	$154.88