Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $524.81 / $1,258.93	Professional		$446.68	$524.81	$1,258.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $218.78 / $457.09 / $933.25	Professional	26	$218.78	$457.09	$933.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $288.40 / $1,288.25	Professional	TC	$239.88	$288.40	$1,288.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $741.31	Professional		$354.81	$354.81	$741.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $354.81 / $354.81 / $436.52	Facility	26	$354.81	$354.81	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $616.60 / $1,000.00	Professional		$389.05	$616.60	$1,000.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $190.55 / $263.03 / $426.58	Professional	26	$190.55	$263.03	$426.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $338.84 / $575.44	Professional	TC	$199.53	$338.84	$575.44
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $831.76 / $1,096.48	Professional		$794.33	$831.76	$1,096.48
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $354.81 / $354.81 / $436.52	Facility	26	$354.81	$354.81	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $724.44 / $1,096.48	Professional		$467.74	$724.44	$1,096.48
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $229.09 / $354.81 / $524.81	Professional	26	$229.09	$354.81	$524.81
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $371.54 / $575.44	Professional	TC	$239.88	$371.54	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $645.65 / $831.76	Professional		$616.60	$645.65	$831.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $281.84 / $288.40 / $389.05	Professional	26	$281.84	$288.40	$389.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $323.59 / $363.08 / $467.74	Professional	TC	$323.59	$363.08	$467.74