Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $245.47 / $707.95	Professional		$147.91	$245.47	$707.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $64.57 / $169.82	Professional	26	$44.67	$64.57	$169.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $131.83 / $323.59	Professional	TC	$95.50	$131.83	$323.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $251.19	Professional		$74.13	$74.13	$251.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $74.13 / $91.20	Facility	26	$74.13	$74.13	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $223.87 / $398.11	Professional		$134.90	$223.87	$398.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $63.10 / $123.03	Professional	26	$38.90	$63.10	$123.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $158.49 / $269.15	Professional	TC	$97.72	$158.49	$269.15
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $275.42 / $346.74	Professional		$269.15	$275.42	$346.74
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $74.13 / $91.20	Facility	26	$74.13	$74.13	$91.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $354.81 / $426.58	Professional		$218.78	$354.81	$426.58
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $74.13 / $107.15	Professional	26	$45.71	$74.13	$107.15
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $177.83 / $257.04	Professional	TC	$112.20	$177.83	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $190.55 / $288.40	Professional		$186.21	$190.55	$288.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $56.23 / $87.10	Professional	26	$54.95	$56.23	$87.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $134.90 / $208.93	Professional	TC	$131.83	$134.90	$208.93