Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $6,025.60	Professional		$1,905.46	$2,238.72	$6,025.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $398.11 / $851.14 / $1,949.84	Professional	26	$398.11	$851.14	$1,949.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $1,445.44 / $1,737.80 / $6,025.60	Professional	TC	$1,445.44	$1,737.80	$6,025.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $2,884.03	Professional		$660.69	$660.69	$2,884.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $660.69 / $660.69 / $812.83	Facility	26	$660.69	$660.69	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,884.03 / $3,981.07	Professional		$1,698.24	$2,884.03	$3,981.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $389.05 / $537.03 / $794.33	Professional	26	$389.05	$537.03	$794.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1,174.90 / $1,949.84 / $3,235.94	Professional	TC	$1,174.90	$1,949.84	$3,235.94
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,235.94 / $4,168.69	Professional		$3,162.28	$3,235.94	$4,168.69
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $660.69 / $660.69 / $812.83	Facility	26	$660.69	$660.69	$812.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,884.03 / $4,265.80	Professional		$1,737.80	$2,884.03	$4,265.80
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $398.11 / $660.69 / $977.24	Professional	26	$398.11	$660.69	$977.24
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $1,348.96 / $2,238.72 / $3,311.31	Professional	TC	$1,348.96	$2,238.72	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,754.23 / $3,388.44	Professional		$2,454.71	$2,754.23	$3,388.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $512.86 / $537.03 / $724.44	Professional	26	$512.86	$537.03	$724.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $1,905.46 / $2,137.96 / $2,691.53	Professional	TC	$1,905.46	$2,137.96	$2,691.53