Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $123.03 / $281.84	Professional		$85.11	$123.03	$281.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $24.55 / $83.18	Professional	26	$16.60	$24.55	$83.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $97.72 / $186.21	Professional	TC	$70.79	$97.72	$186.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $154.88	Professional		$28.18	$28.18	$154.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $28.18 / $34.67	Facility	26	$28.18	$28.18	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $125.89 / $245.47	Professional		$79.43	$125.89	$245.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $25.12 / $45.71	Professional	26	$15.49	$25.12	$45.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $102.33 / $204.17	Professional	TC	$61.66	$102.33	$204.17
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $199.53	Professional		$141.25	$169.82	$199.53
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $28.18 / $34.67	Facility	26	$28.18	$28.18	$34.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $223.87 / $275.42	Professional		$114.82	$223.87	$275.42
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $28.18 / $38.02	Professional	26	$17.38	$28.18	$38.02
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $123.03 / $181.97	Professional	TC	$61.66	$123.03	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $104.71 / $165.96	Professional		$95.50	$104.71	$165.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $19.50 / $32.36	Professional	26	$18.62	$19.50	$32.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $81.28 / $131.83	Professional	TC	$67.61	$81.28	$131.83