Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $131.83 / $489.78	Professional		$81.28	$131.83	$489.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $48.98 / $138.04	Professional	26	$26.92	$48.98	$138.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $93.33 / $218.78	Professional	TC	$61.66	$93.33	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $165.96 / $165.96	Professional		$50.12	$165.96	$165.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.12 / $50.12 / $63.10	Facility	26	$50.12	$50.12	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $165.96 / $251.19	Professional		$100.00	$165.96	$251.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $50.12 / $75.86	Professional	26	$33.88	$50.12	$75.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $114.82 / $169.82	Professional	TC	$67.61	$114.82	$169.82
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $186.21 / $263.03	Professional		$181.97	$186.21	$263.03
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $50.12 / $50.12 / $63.10	Facility	26	$50.12	$50.12	$63.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $181.97 / $257.04	Professional		$131.83	$181.97	$257.04
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $50.12 / $66.07	Professional	26	$34.67	$50.12	$66.07
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $114.82 / $165.96	Professional	TC	$70.79	$114.82	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $120.23 / $194.98	Professional		$112.20	$120.23	$194.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $35.48 / $58.88	Professional	26	$34.67	$35.48	$58.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $85.11 / $134.90	Professional	TC	$75.86	$85.11	$134.90