Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $165.96 / $407.38	Professional		$79.43	$165.96	$407.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $72.44 / $204.17	Professional	26	$33.11	$72.44	$204.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $60.26 / $138.04	Professional	TC	$38.02	$60.26	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $134.90 / $134.90	Professional		$56.23	$134.90	$134.90
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $56.23 / $70.79	Facility	26	$56.23	$56.23	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $134.90 / $194.98	Professional		$102.33	$134.90	$194.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $56.23 / $85.11	Professional	26	$38.02	$56.23	$85.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $77.62 / $112.20	Professional	TC	$60.26	$77.62	$112.20
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $181.97	Professional		$147.91	$147.91	$181.97
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $56.23 / $70.79	Facility	26	$56.23	$56.23	$70.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $147.91 / $204.17	Professional		$114.82	$147.91	$204.17
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $56.23 / $75.86	Professional	26	$38.90	$56.23	$75.86
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $77.62 / $107.15	Professional	TC	$58.88	$77.62	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $91.20 / $151.36	Professional		$89.13	$91.20	$151.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $39.81 / $66.07	Professional	26	$38.90	$39.81	$66.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $51.29 / $87.10	Professional	TC	$48.98	$51.29	$87.10