Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $60.26 / $169.82	Professional		$39.81	$60.26	$169.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $17.38 / $56.23	Professional	26	$10.96	$17.38	$56.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $38.90 / $87.10	Professional	TC	$28.18	$38.90	$87.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $74.13 / $74.13	Professional		$19.50	$74.13	$74.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $19.50 / $23.99	Facility	26	$19.50	$19.50	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $58.88 / $112.20	Professional		$36.31	$58.88	$112.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $17.78 / $33.11	Professional	26	$10.23	$17.78	$33.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $41.69 / $83.18	Professional	TC	$26.30	$41.69	$83.18
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $81.28 / $123.03	Professional		$69.18	$81.28	$123.03
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $19.50 / $23.99	Facility	26	$19.50	$19.50	$23.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $104.71 / $128.82	Professional		$58.88	$104.71	$128.82
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $19.50 / $28.18	Professional	26	$12.02	$19.50	$28.18
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $51.29 / $79.43	Professional	TC	$29.51	$51.29	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $46.77 / $79.43	Professional		$41.69	$46.77	$79.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $13.80 / $23.44	Professional	26	$12.59	$13.80	$23.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $33.11 / $54.95	Professional	TC	$28.18	$33.11	$54.95