Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $3,715.35	Professional		$851.14	$1,148.15	$3,715.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $109.65 / $380.19	Professional	26	$97.72	$109.65	$380.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $758.58 / $1,023.29 / $2,238.72	Professional	TC	$758.58	$1,023.29	$2,238.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $1,288.25	Professional		$147.91	$147.91	$1,288.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $147.91 / $147.91 / $186.21	Facility	26	$147.91	$147.91	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,148.15 / $2,511.89	Professional		$977.24	$1,148.15	$2,511.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $117.49 / $281.84	Professional	26	$67.61	$117.49	$281.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $870.96 / $1,023.29 / $2,238.72	Professional	TC	$870.96	$1,023.29	$2,238.72
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,479.11 / $1,584.89	Professional		$1,412.54	$1,479.11	$1,584.89
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $147.91 / $147.91 / $186.21	Facility	26	$147.91	$147.91	$186.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $1,819.70	Professional		$912.01	$1,258.93	$1,819.70
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $138.04 / $199.53	Professional	26	$100.00	$138.04	$199.53
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $812.83 / $1,122.02 / $1,621.81	Professional	TC	$812.83	$1,122.02	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $831.76 / $1,621.81	Professional		$812.83	$831.76	$1,621.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $91.20 / $177.83	Professional	26	$89.13	$91.20	$177.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $724.44 / $741.31 / $1,445.44	Professional	TC	$724.44	$741.31	$1,445.44