Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $218.78 / $257.04	Professional		$89.13	$218.78	$257.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $44.67 / $60.26	Professional	26	$33.88	$44.67	$60.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $165.96 / $165.96	Professional	TC	$63.10	$165.96	$165.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $234.42	Professional		$54.95	$54.95	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $234.42	Professional		$177.83	$177.83	$234.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $54.95 / $70.79	Professional	26	$54.95	$54.95	$70.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $109.65 / $181.97	Professional	TC	$109.65	$109.65	$181.97
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $288.40	Professional		$194.98	$257.04	$288.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $218.78 / $331.13	Professional		$144.54	$218.78	$331.13
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $54.95 / $79.43	Professional	26	$33.88	$54.95	$79.43
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $169.82 / $251.19	Professional	TC	$109.65	$169.82	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $77.62 / $218.78	Professional		$56.23	$77.62	$218.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $22.91 / $60.26	Professional	26	$22.39	$22.91	$60.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $54.95 / $154.88	Professional	TC	$33.11	$54.95	$154.88