Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $58.88 / $263.03	Professional		$47.86	$58.88	$263.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $20.89 / $74.13	Professional	26	$13.49	$20.89	$74.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $43.65 / $81.28	Professional	TC	$30.90	$43.65	$81.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $83.18	Professional		$23.99	$23.99	$83.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.99 / $23.99 / $30.20	Facility	26	$23.99	$23.99	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $67.61 / $125.89	Professional		$43.65	$67.61	$125.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $21.38 / $40.74	Professional	26	$12.88	$21.38	$40.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $48.98 / $89.13	Professional	TC	$30.90	$48.98	$89.13
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $91.20 / $138.04	Professional		$79.43	$91.20	$138.04
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $23.99 / $23.99 / $30.20	Facility	26	$23.99	$23.99	$30.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $117.49 / $141.25	Professional		$66.07	$117.49	$141.25
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $23.99 / $35.48	Professional	26	$14.45	$23.99	$35.48
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $54.95 / $85.11	Professional	TC	$34.67	$54.95	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $52.48 / $87.10	Professional		$47.86	$52.48	$87.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $16.60 / $28.18	Professional	26	$15.49	$16.60	$28.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $35.48 / $61.66	Professional	TC	$30.90	$35.48	$61.66