Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $37.15 / $165.96	Professional		$25.70	$37.15	$165.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $13.49 / $41.69	Professional	26	$7.41	$13.49	$41.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $28.84 / $28.84 / $52.48	Professional	50	$28.84	$28.84	$52.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $25.70 / $61.66	Professional	TC	$19.05	$25.70	$61.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $51.29	Professional		$13.18	$13.18	$51.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.18 / $13.18 / $16.22	Facility	26	$13.18	$13.18	$16.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $39.81 / $77.62	Professional		$24.55	$39.81	$77.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $11.22 / $20.42	Professional	26	$6.76	$11.22	$20.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $28.84 / $57.54	Professional	TC	$17.38	$28.84	$57.54
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $56.23 / $85.11	Professional		$45.71	$56.23	$85.11
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $13.18 / $13.18 / $16.22	Facility	26	$13.18	$13.18	$16.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $72.44 / $87.10	Professional		$39.81	$72.44	$87.10
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $13.18 / $19.95	Professional	26	$8.32	$13.18	$19.95
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $34.67 / $56.23	Professional	TC	$17.38	$34.67	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $31.62 / $52.48	Professional		$28.18	$31.62	$52.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $8.71 / $14.79	Professional	26	$8.32	$8.71	$14.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $22.91 / $38.02	Professional	TC	$19.05	$22.91	$38.02