Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $52.48 / $131.83	Professional		$38.02	$52.48	$131.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $18.62 / $34.67	Professional	26	$12.30	$18.62	$34.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $33.88 / $70.79	Professional	TC	$25.12	$33.88	$70.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $69.18	Professional		$21.38	$21.38	$69.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.38 / $21.38 / $26.92	Facility	26	$21.38	$21.38	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $54.95 / $104.71	Professional		$34.67	$54.95	$104.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $18.62 / $36.31	Professional	26	$10.96	$18.62	$36.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $37.15 / $72.44	Professional	TC	$23.99	$37.15	$72.44
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $114.82	Professional		$61.66	$75.86	$114.82
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $21.38 / $21.38 / $26.92	Facility	26	$21.38	$21.38	$26.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $97.72 / $117.49	Professional		$54.95	$97.72	$117.49
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $21.38 / $31.62	Professional	26	$13.18	$21.38	$31.62
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $43.65 / $69.18	Professional	TC	$28.84	$43.65	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $43.65 / $74.13	Professional		$38.02	$43.65	$74.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $15.14 / $25.70	Professional	26	$13.49	$15.14	$25.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $28.18 / $47.86	Professional	TC	$24.55	$28.18	$47.86