Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $194.98 / $467.74	Professional		$93.33	$194.98	$467.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $81.28 / $251.19	Professional	26	$36.31	$81.28	$251.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $79.43 / $199.53	Professional	TC	$56.23	$79.43	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $173.78 / $173.78	Professional		$63.10	$173.78	$173.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $63.10 / $77.62	Facility	26	$63.10	$63.10	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $173.78 / $251.19	Professional		$93.33	$173.78	$251.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $63.10 / $95.50	Professional	26	$42.66	$63.10	$95.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $109.65 / $158.49	Professional	TC	$48.98	$109.65	$158.49
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $194.98 / $245.47	Professional		$186.21	$194.98	$245.47
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $63.10 / $77.62	Facility	26	$63.10	$63.10	$77.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $263.03	Professional		$138.04	$190.55	$263.03
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $63.10 / $85.11	Professional	26	$42.66	$63.10	$85.11
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $109.65 / $158.49	Professional	TC	$67.61	$109.65	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $117.49 / $194.98	Professional		$112.20	$117.49	$194.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $43.65 / $72.44	Professional	26	$42.66	$43.65	$72.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $72.44 / $120.23	Professional	TC	$69.18	$72.44	$120.23