Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $107.15 / $239.88	Professional		$77.62	$107.15	$239.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $15.14 / $38.02	Professional	26	$12.02	$15.14	$38.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.44 / $23.44 / $29.51	Facility	26	$23.44	$23.44	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $114.82 / $234.42	Professional		$70.79	$114.82	$234.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $21.88 / $36.31	Professional	26	$12.88	$21.88	$36.31
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $177.83 / $263.03	Professional		$134.90	$177.83	$263.03
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $23.44 / $23.44 / $29.51	Facility	26	$23.44	$23.44	$29.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $234.42 / $275.42	Professional		$107.15	$234.42	$275.42
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $23.44 / $34.67	Professional	26	$14.13	$23.44	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $89.13 / $151.36	Professional		$74.13	$89.13	$151.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $16.22 / $26.92	Professional	26	$15.14	$16.22	$26.92