Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $309.03 / $1,445.44	Professional		$257.04	$309.03	$1,445.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $70.79 / $190.55	Professional	26	$38.90	$70.79	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $257.04 / $812.83	Professional	TC	$218.78	$257.04	$812.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $426.58	Professional		$61.66	$61.66	$426.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $61.66 / $75.86	Facility	26	$61.66	$61.66	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $251.19 / $831.76	Professional		$213.80	$251.19	$831.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $43.65 / $117.49	Professional	26	$33.88	$43.65	$117.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $208.93 / $707.95	Professional	TC	$173.78	$208.93	$707.95
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $467.74 / $933.25	Professional		$426.58	$467.74	$933.25
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $61.66 / $75.86	Facility	26	$61.66	$61.66	$75.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $416.87 / $524.81	Professional		$269.15	$416.87	$524.81
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $57.54 / $81.28	Professional	26	$41.69	$57.54	$81.28
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $354.81 / $436.52	Professional	TC	$234.42	$354.81	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $263.03 / $524.81	Professional		$223.87	$263.03	$524.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $38.02 / $74.13	Professional	26	$37.15	$38.02	$74.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $229.09 / $457.09	Professional	TC	$186.21	$229.09	$457.09