Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $489.78 / $2,089.30	Professional		$436.52	$489.78	$2,089.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $79.43 / $199.53	Professional	26	$69.18	$79.43	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $363.08 / $416.87 / $1,122.02	Professional	TC	$363.08	$416.87	$1,122.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $676.08	Professional		$117.49	$117.49	$676.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $117.49 / $144.54	Facility	26	$117.49	$117.49	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $524.81 / $1,318.26	Professional		$363.08	$524.81	$1,318.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $89.13 / $223.87	Professional	26	$63.10	$89.13	$223.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $436.52 / $1,096.48	Professional	TC	$302.00	$436.52	$1,096.48
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $794.33 / $3,090.30	Professional		$741.31	$794.33	$3,090.30
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $117.49 / $144.54	Facility	26	$117.49	$117.49	$144.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $977.24	Professional		$446.68	$645.65	$977.24
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $109.65 / $154.88	Professional	26	$79.43	$109.65	$154.88
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $363.08 / $537.03 / $794.33	Professional	TC	$363.08	$537.03	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $416.87 / $812.83	Professional		$407.38	$416.87	$812.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $69.18 / $138.04	Professional	26	$67.61	$69.18	$138.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $346.74 / $354.81 / $676.08	Professional	TC	$346.74	$354.81	$676.08