Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $47.86 / $162.18	Professional		$20.89	$47.86	$162.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $16.98 / $60.26	Professional	26	$12.02	$16.98	$60.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $40.74 / $81.28	Professional	TC	$23.99	$40.74	$81.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $66.07 / $66.07	Professional		$19.95	$66.07	$66.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $19.95 / $24.55	Facility	26	$19.95	$19.95	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $52.48 / $100.00	Professional		$33.88	$52.48	$100.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $17.78 / $33.11	Professional	26	$10.47	$17.78	$33.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $35.48 / $70.79	Professional	TC	$22.91	$35.48	$70.79
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $74.13 / $109.65	Professional		$60.26	$74.13	$109.65
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $19.95 / $24.55	Facility	26	$19.95	$19.95	$24.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $93.33 / $112.20	Professional		$52.48	$93.33	$112.20
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $19.95 / $28.84	Professional	26	$12.30	$19.95	$28.84
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $42.66 / $67.61	Professional	TC	$25.12	$42.66	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $41.69 / $70.79	Professional		$36.31	$41.69	$70.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $13.80 / $22.91	Professional	26	$12.88	$13.80	$22.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $27.54 / $46.77	Professional	TC	$23.99	$27.54	$46.77