Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $169.82 / $371.54	Professional		$151.36	$169.82	$371.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $66.07 / $134.90	Professional	TC	$52.48	$66.07	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $229.09	Professional		$144.54	$144.54	$229.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $144.54 / $144.54 / $177.83	Facility	26	$144.54	$144.54	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $208.93 / $288.40	Professional		$123.03	$208.93	$288.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $89.13 / $107.15	Professional	TC	$44.67	$89.13	$107.15
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $257.04 / $588.84	Professional		$239.88	$257.04	$588.84
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $144.54 / $144.54 / $177.83	Facility	26	$144.54	$144.54	$177.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $229.09 / $288.40	Professional		$151.36	$229.09	$288.40
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $85.11 / $104.71	Professional	TC	$54.95	$85.11	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $141.25 / $269.15	Professional		$123.03	$141.25	$269.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $51.29 / $91.20	Professional	TC	$40.74	$51.29	$91.20