Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $295.12 / $295.12	Professional		$194.98	$295.12	$295.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $35.48 / $57.54	Professional	26	$28.84	$35.48	$57.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $257.04 / $257.04	Professional	TC	$134.90	$257.04	$257.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $316.23	Professional		$35.48	$35.48	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $316.23	Professional		$204.17	$204.17	$316.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $35.48 / $42.66	Professional	26	$35.48	$35.48	$42.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $158.49 / $281.84	Professional	TC	$158.49	$158.49	$281.84
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $346.74 / $354.81	Professional		$263.03	$346.74	$354.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $302.00 / $446.68	Professional		$199.53	$302.00	$446.68
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $35.48 / $52.48	Professional	26	$22.39	$35.48	$52.48
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $269.15 / $398.11	Professional	TC	$158.49	$269.15	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $109.65 / $316.23	Professional		$70.79	$109.65	$316.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $15.49 / $39.81	Professional	26	$15.49	$15.49	$39.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $93.33 / $269.15	Professional	TC	$54.95	$93.33	$269.15