Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $323.59 / $537.03	Professional		$263.03	$323.59	$537.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $154.88 / $199.53 / $380.19	Professional	26	$154.88	$199.53	$380.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $117.49 / $190.55	Professional	TC	$91.20	$117.49	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $446.68	Professional		$288.40	$288.40	$446.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $288.40 / $288.40 / $338.84	Facility	26	$288.40	$288.40	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $371.54 / $660.69	Professional		$281.84	$371.54	$660.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $186.21 / $234.42 / $398.11	Professional	26	$186.21	$234.42	$398.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $141.25 / $257.04	Professional	TC	$100.00	$141.25	$257.04
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $489.78 / $549.54	Professional		$446.68	$489.78	$549.54
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $288.40 / $288.40 / $338.84	Facility	26	$288.40	$288.40	$338.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $645.65 / $776.25	Professional		$316.23	$645.65	$776.25
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $186.21 / $257.04 / $398.11	Professional	26	$186.21	$257.04	$398.11
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $151.36 / $229.09	Professional	TC	$107.15	$151.36	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $489.78 / $575.44	Professional		$354.81	$489.78	$575.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $213.80 / $309.03 / $354.81	Professional	26	$213.80	$309.03	$354.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $186.21 / $223.87	Professional	TC	$138.04	$186.21	$223.87