Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $48.98 / $169.82	Professional		$33.11	$48.98	$169.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $13.18 / $46.77	Professional	26	$7.76	$13.18	$46.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $33.88 / $74.13	Professional	TC	$23.99	$33.88	$74.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $58.88	Professional		$12.59	$12.59	$58.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $12.59 / $15.49	Facility	26	$12.59	$12.59	$15.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $46.77 / $89.13	Professional		$28.84	$46.77	$89.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $11.75 / $21.38	Professional	26	$6.92	$11.75	$21.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $35.48 / $70.79	Professional	TC	$21.38	$35.48	$70.79
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $64.57 / $97.72	Professional		$53.70	$64.57	$97.72
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $12.59 / $15.49	Facility	26	$12.59	$12.59	$15.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $83.18 / $102.33	Professional		$45.71	$83.18	$102.33
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $12.59 / $19.05	Professional	26	$8.13	$12.59	$19.05
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $43.65 / $67.61	Professional	TC	$21.88	$43.65	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $37.15 / $61.66	Professional		$31.62	$37.15	$61.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $9.12 / $15.14	Professional	26	$8.51	$9.12	$15.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $27.54 / $46.77	Professional	TC	$22.91	$27.54	$46.77