Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $316.23 / $933.25	Professional		$229.09	$316.23	$933.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $128.82 / $363.08	Professional	26	$75.86	$128.82	$363.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $177.83 / $316.23	Professional	TC	$141.25	$177.83	$316.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $363.08 / $363.08	Professional		$125.89	$363.08	$363.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $125.89 / $151.36	Facility	26	$125.89	$125.89	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $354.81 / $512.86	Professional		$275.42	$354.81	$512.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $123.03 / $190.55	Professional	26	$100.00	$123.03	$190.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $229.09 / $323.59	Professional	TC	$158.49	$229.09	$323.59
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $407.38 / $512.86	Professional		$398.11	$407.38	$512.86
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $125.89 / $151.36	Facility	26	$125.89	$125.89	$151.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $398.11 / $549.54	Professional		$309.03	$398.11	$549.54
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $123.03 / $181.97	Professional	26	$100.00	$123.03	$181.97
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $239.88 / $323.59	Professional	TC	$158.49	$239.88	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $398.11 / $446.68	Professional		$295.12	$398.11	$446.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $141.25 / $169.82	Professional	26	$109.65	$141.25	$169.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $251.19 / $302.00	Professional	TC	$190.55	$251.19	$302.00