Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $741.31	Professional		$257.04	$302.00	$741.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $138.04 / $245.47 / $489.78	Professional	26	$138.04	$245.47	$489.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $144.54 / $346.74	Professional	TC	$123.03	$144.54	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $239.88 / $239.88 / $295.12	Facility	26	$239.88	$239.88	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $371.54 / $549.54	Professional		$239.88	$371.54	$549.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $173.78 / $288.40	Professional	26	$128.82	$173.78	$288.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $177.83 / $257.04	Professional	TC	$112.20	$177.83	$257.04
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $501.19 / $794.33	Professional		$457.09	$501.19	$794.33
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $239.88 / $239.88 / $295.12	Facility	26	$239.88	$239.88	$295.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $446.68 / $676.08	Professional		$288.40	$446.68	$676.08
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $154.88 / $239.88 / $354.81	Professional	26	$154.88	$239.88	$354.81
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $208.93 / $316.23	Professional	TC	$134.90	$208.93	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $371.54 / $501.19	Professional		$363.08	$371.54	$501.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $190.55 / $194.98 / $263.03	Professional	26	$190.55	$194.98	$263.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $173.78 / $234.42	Professional	TC	$173.78	$173.78	$234.42