Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $35.48 / $134.90	Professional		$26.92	$35.48	$134.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $13.80 / $44.67	Professional	26	$7.76	$13.80	$44.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $25.70 / $66.07	Professional	TC	$18.20	$25.70	$66.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $48.98 / $48.98	Professional		$13.80	$48.98	$48.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.80 / $13.80 / $16.98	Facility	26	$13.80	$13.80	$16.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $38.90 / $74.13	Professional		$22.91	$38.90	$74.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $11.48 / $21.38	Professional	26	$6.76	$11.48	$21.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $27.54 / $53.70	Professional	TC	$16.60	$27.54	$53.70
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $53.70 / $81.28	Professional		$46.77	$53.70	$81.28
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $13.80 / $13.80 / $16.98	Facility	26	$13.80	$13.80	$16.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $69.18 / $85.11	Professional		$40.74	$69.18	$85.11
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $13.80 / $19.95	Professional	26	$8.32	$13.80	$19.95
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $33.11 / $52.48	Professional	TC	$17.78	$33.11	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $30.90 / $52.48	Professional		$26.92	$30.90	$52.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $9.33 / $15.85	Professional	26	$8.51	$9.33	$15.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $21.88 / $36.31	Professional	TC	$18.20	$21.88	$36.31