Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $380.19 / $1,949.84	Professional		$323.59	$380.19	$1,949.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $72.44 / $338.84	Professional	26	$64.57	$72.44	$338.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $295.12 / $616.60	Professional	TC	$257.04	$295.12	$616.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $489.78	Professional		$100.00	$100.00	$489.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $123.03	Facility	26	$100.00	$100.00	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $371.54 / $954.99	Professional		$263.03	$371.54	$954.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $74.13 / $190.55	Professional	26	$53.70	$74.13	$190.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $302.00 / $776.25	Professional	TC	$208.93	$302.00	$776.25
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $575.44 / $3,090.30	Professional		$537.03	$575.44	$3,090.30
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $123.03	Facility	26	$100.00	$100.00	$123.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $467.74 / $707.95	Professional		$323.59	$467.74	$707.95
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $91.20 / $131.83	Professional	26	$66.07	$91.20	$131.83
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $371.54 / $562.34	Professional	TC	$251.19	$371.54	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $302.00 / $588.84	Professional		$295.12	$302.00	$588.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $58.88 / $114.82	Professional	26	$57.54	$58.88	$114.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $245.47 / $467.74	Professional	TC	$234.42	$245.47	$467.74