Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $190.55 / $446.68	Professional		$134.90	$190.55	$446.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $77.62 / $257.04	Professional	26	$60.26	$77.62	$257.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $275.42	Professional		$117.49	$117.49	$275.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $117.49 / $147.91	Facility	26	$117.49	$117.49	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $263.03 / $389.05	Professional		$165.96	$263.03	$389.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $117.49 / $177.83	Professional	26	$75.86	$117.49	$177.83
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $302.00 / $338.84	Professional		$288.40	$302.00	$338.84
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $117.49 / $147.91	Facility	26	$117.49	$117.49	$147.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $295.12 / $416.87	Professional		$204.17	$295.12	$416.87
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $117.49 / $154.88	Professional	26	$77.62	$117.49	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $177.83 / $302.00	Professional		$169.82	$177.83	$302.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $79.43 / $134.90	Professional	26	$79.43	$79.43	$134.90