Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $346.74 / $1,412.54	Professional		$199.53	$346.74	$1,412.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $112.20 / $218.78	Professional	26	$67.61	$112.20	$218.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $223.87 / $426.58	Professional	TC	$125.89	$223.87	$426.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $354.81	Professional		$117.49	$117.49	$354.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $117.49 / $144.54	Facility	26	$117.49	$117.49	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $338.84 / $660.69	Professional		$204.17	$338.84	$660.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $91.20 / $208.93	Professional	26	$52.48	$91.20	$208.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $213.80 / $457.09	Professional	TC	$141.25	$213.80	$457.09
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $398.11 / $707.95	Professional		$389.05	$398.11	$707.95
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $117.49 / $144.54	Facility	26	$117.49	$117.49	$144.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $512.86 / $616.60	Professional		$316.23	$512.86	$616.60
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $109.65 / $173.78	Professional	26	$72.44	$109.65	$173.78
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $234.42 / $338.84	Professional	TC	$158.49	$234.42	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $436.52 / $870.96	Professional		$218.78	$436.52	$870.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $70.79 / $138.04	Professional	26	$69.18	$70.79	$138.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $288.40 / $758.58	Professional	TC	$147.91	$288.40	$758.58