Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $389.05 / $891.25	Professional		$158.49	$389.05	$891.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $77.62 / $204.17	Professional	26	$33.88	$77.62	$204.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $120.23 / $138.04	Professional	TC	$64.57	$120.23	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $165.96 / $165.96	Professional		$53.70	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $165.96	Professional		$147.91	$147.91	$165.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $53.70 / $58.88	Professional	26	$53.70	$53.70	$58.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $87.10 / $114.82	Professional	TC	$87.10	$87.10	$114.82
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $181.97 / $251.19	Facility		$173.78	$181.97	$251.19
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $181.97 / $251.19	Professional		$173.78	$181.97	$251.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $154.88 / $251.19	Facility		$87.10	$154.88	$251.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $147.91 / $257.04	Professional		$95.50	$147.91	$257.04
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $53.70 / $77.62	Professional	26	$32.36	$53.70	$77.62
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $95.50 / $181.97	Professional	TC	$63.10	$95.50	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $173.78	Professional		$64.57	$64.57	$173.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $22.39 / $58.88	Professional	26	$21.88	$22.39	$58.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $42.66 / $114.82	Professional	TC	$41.69	$42.66	$114.82