Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $309.03 / $676.08	Professional		$190.55	$309.03	$676.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $66.07 / $158.49	Professional	26	$32.36	$66.07	$158.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $245.47 / $588.84	Professional	TC	$158.49	$245.47	$588.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $426.58 / $426.58	Professional		$58.88	$426.58	$426.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $58.88 / $72.44	Facility	26	$58.88	$58.88	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $245.47 / $446.68	Professional		$173.78	$245.47	$446.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $39.81 / $69.18	Professional	26	$31.62	$39.81	$69.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $208.93 / $380.19	Professional	TC	$138.04	$208.93	$380.19
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $467.74 / $562.34	Professional		$316.23	$467.74	$562.34
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $58.88 / $72.44	Facility	26	$58.88	$58.88	$72.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $389.05 / $616.60	Professional		$257.04	$389.05	$616.60
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $58.88 / $87.10	Professional	26	$36.31	$58.88	$87.10
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $331.13 / $524.81	Professional	TC	$223.87	$331.13	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $354.81 / $478.63	Professional		$229.09	$354.81	$478.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $47.86 / $64.57	Professional	26	$44.67	$47.86	$64.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $309.03 / $416.87	Professional	TC	$181.97	$309.03	$416.87