Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $831.76 / $1,479.11	Professional		$588.84	$831.76	$1,479.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $162.18 / $524.81	Professional	26	$114.82	$162.18	$524.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $416.87 / $660.69 / $1,023.29	Professional	TC	$416.87	$660.69	$1,023.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $1,023.29 / $1,023.29	Professional		$190.55	$1,023.29	$1,023.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $190.55 / $190.55 / $223.87	Facility	26	$190.55	$190.55	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $1,445.44	Professional		$630.96	$912.01	$1,445.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $190.55 / $263.03	Professional	26	$123.03	$190.55	$263.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $512.86 / $741.31 / $1,202.26	Professional	TC	$512.86	$741.31	$1,202.26
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,122.02 / $1,318.26	Professional		$1,071.52	$1,122.02	$1,318.26
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $190.55 / $190.55 / $223.87	Facility	26	$190.55	$190.55	$223.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,412.54 / $1,698.24	Professional		$707.95	$1,412.54	$1,698.24
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $186.21 / $269.15	Professional	26	$123.03	$186.21	$269.15
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $537.03 / $758.58 / $1,202.26	Professional	TC	$537.03	$758.58	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,071.52 / $1,412.54	Professional		$851.14	$1,071.52	$1,412.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $208.93 / $302.00	Professional	26	$169.82	$208.93	$302.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $676.08 / $851.14 / $1,096.48	Professional	TC	$676.08	$851.14	$1,096.48