Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $302.00 / $562.34	Professional		$194.98	$302.00	$562.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $57.54 / $128.82	Professional	26	$41.69	$57.54	$128.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $251.19 / $416.87	Professional	TC	$162.18	$251.19	$416.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $436.52	Professional		$70.79	$70.79	$436.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $70.79 / $85.11	Facility	26	$70.79	$70.79	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $407.38 / $645.65	Professional		$239.88	$407.38	$645.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $64.57 / $107.15	Professional	26	$47.86	$64.57	$107.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $346.74 / $537.03	Professional	TC	$199.53	$346.74	$537.03
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $478.63 / $602.56	Professional		$467.74	$478.63	$602.56
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $70.79 / $85.11	Facility	26	$70.79	$70.79	$85.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $457.09 / $691.83	Professional		$323.59	$457.09	$691.83
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $66.07 / $102.33	Professional	26	$47.86	$66.07	$102.33
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $331.13 / $489.78	Professional	TC	$234.42	$331.13	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $457.09 / $562.34	Professional		$346.74	$457.09	$562.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $77.62 / $89.13	Professional	26	$60.26	$77.62	$89.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $371.54 / $489.78	Professional	TC	$288.40	$371.54	$489.78