Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $416.87 / $416.87	Professional		$380.19	$416.87	$416.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $63.10 / $501.19	Professional	26	$51.29	$63.10	$501.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $331.13 / $354.81 / $354.81	Professional	TC	$331.13	$354.81	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $457.09	Professional		$331.13	$331.13	$457.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $64.57 / $74.13	Professional	26	$64.57	$64.57	$74.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $257.04 / $389.05	Professional	TC	$257.04	$257.04	$389.05
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $501.19 / $660.69	Professional		$478.63	$501.19	$660.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $457.09 / $630.96	Professional		$309.03	$457.09	$630.96
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $64.57 / $93.33	Professional	26	$40.74	$64.57	$93.33
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $389.05 / $537.03	Professional	TC	$257.04	$389.05	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $524.81	Professional		$208.93	$208.93	$524.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $27.54 / $72.44	Professional	26	$27.54	$27.54	$72.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $181.97 / $457.09	Professional	TC	$177.83	$181.97	$457.09