Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $363.08 / $707.95	Professional		$234.42	$363.08	$707.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $74.13 / $154.88	Professional	26	$56.23	$74.13	$154.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $257.04 / $457.09	Professional	TC	$173.78	$257.04	$457.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $346.74	Professional		$95.50	$95.50	$346.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $95.50 / $117.49	Facility	26	$95.50	$95.50	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $457.09 / $676.08	Professional		$186.21	$457.09	$676.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $69.18 / $120.23	Professional	26	$51.29	$69.18	$120.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $338.84 / $501.19	Professional	TC	$134.90	$338.84	$501.19
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $389.05 / $602.56	Professional		$380.19	$389.05	$602.56
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $95.50 / $117.49	Facility	26	$95.50	$95.50	$117.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $363.08 / $467.74	Professional		$234.42	$363.08	$467.74
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $95.50 / $120.23	Professional	26	$58.88	$95.50	$120.23
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $257.04 / $363.08	Professional	TC	$173.78	$257.04	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $338.84 / $616.60	Professional		$190.55	$338.84	$616.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $54.95 / $109.65	Professional	26	$52.48	$54.95	$109.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $245.47 / $537.03	Professional	TC	$138.04	$245.47	$537.03