Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $42.66 / $169.82	Professional		$26.92	$42.66	$169.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.96 / $28.18	Professional	26	$7.08	$10.96	$28.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $25.70 / $60.26	Professional	TC	$19.05	$25.70	$60.26
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 $26.92 / $39.81 / $75.86	Professional		$26.92	$39.81	$75.86
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 $19.95 / $28.84 / $56.23	Professional	TC	$19.95	$28.84	$56.23
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $56.23 / $85.11	Professional		$48.98	$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 $42.66 / $72.44 / $87.10	Professional		$42.66	$72.44	$87.10
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $13.18 / $19.05	Professional	26	$8.13	$13.18	$19.05
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $34.67 / $54.95	Professional	TC	$22.91	$34.67	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $31.62 / $52.48	Professional		$29.51	$31.62	$52.48
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 $20.42 / $22.39 / $38.02	Professional	TC	$20.42	$22.39	$38.02