Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $190.55 / $407.38	Professional		$117.49	$190.55	$407.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $43.65 / $128.82	Professional	26	$28.18	$43.65	$128.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $109.65 / $213.80	Professional	TC	$77.62	$109.65	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $316.23	Professional		$50.12	$50.12	$316.23
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 $114.82 / $162.18 / $338.84	Professional		$114.82	$162.18	$338.84
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 $75.86 / $112.20 / $269.15	Professional	TC	$75.86	$112.20	$269.15
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $346.74 / $354.81	Professional		$229.09	$346.74	$354.81
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 $147.91 / $331.13 / $478.63	Professional		$147.91	$331.13	$478.63
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $50.12 / $66.07	Professional	26	$33.88	$50.12	$66.07
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $251.19 / $316.23	Professional	TC	$79.43	$251.19	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $158.49 / $263.03	Professional		$102.33	$158.49	$263.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $36.31 / $60.26	Professional	26	$33.88	$36.31	$60.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $125.89 / $208.93	Professional	TC	$75.86	$125.89	$208.93