Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $229.09 / $229.09	Professional		$181.97	$229.09	$229.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $64.57 / $67.61	Professional	26	$50.12	$64.57	$67.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $162.18 / $162.18	Professional	TC	$131.83	$162.18	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $234.42	Professional		$64.57	$64.57	$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 $64.57 / $64.57 / $67.61	Professional	26	$64.57	$64.57	$67.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $109.65 / $169.82	Professional	TC	$109.65	$109.65	$169.82
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 $128.82 / $194.98 / $338.84	Professional		$128.82	$194.98	$338.84
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $64.57 / $93.33	Professional	26	$38.90	$64.57	$93.33
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $134.90 / $251.19	Professional	TC	$91.20	$134.90	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $79.43 / $229.09	Professional		$69.18	$79.43	$229.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $25.70 / $70.79	Professional	26	$24.55	$25.70	$70.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $54.95 / $154.88	Professional	TC	$43.65	$54.95	$154.88