Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $562.34 / $1,288.25	Professional		$457.09	$562.34	$1,288.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $104.71 / $223.87	Professional	26	$72.44	$104.71	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $676.08	Professional		$109.65	$109.65	$676.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $109.65 / $134.90	Facility	26	$109.65	$109.65	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $676.08 / $794.33	Professional		$478.63	$676.08	$794.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $109.65 / $147.91	Professional	26	$74.13	$109.65	$147.91
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $741.31 / $933.25	Professional		$691.83	$741.31	$933.25
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $109.65 / $134.90	Facility	26	$109.65	$109.65	$134.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $676.08 / $954.99	Professional		$446.68	$676.08	$954.99
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $109.65 / $154.88	Professional	26	$72.44	$109.65	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $398.11 / $831.76	Professional		$354.81	$398.11	$831.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $64.57 / $131.83	Professional	26	$63.10	$64.57	$131.83