Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $75.86 / $234.42	Professional		$51.29	$75.86	$234.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $20.89 / $69.18	Professional	26	$12.30	$20.89	$69.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $47.86 / $104.71	Professional	TC	$33.88	$47.86	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $85.11 / $85.11	Professional		$19.95	$85.11	$85.11
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 $44.67 / $67.61 / $125.89	Professional		$44.67	$67.61	$125.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $19.95 / $36.31	Professional	26	$12.88	$19.95	$36.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $47.86 / $97.72	Professional	TC	$33.11	$47.86	$97.72
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $93.33 / $141.25	Professional		$75.86	$93.33	$141.25
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 $67.61 / $120.23 / $141.25	Professional		$67.61	$120.23	$141.25
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $20.89 / $30.20	Professional	26	$13.80	$20.89	$30.20
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $58.88 / $93.33	Professional	TC	$34.67	$58.88	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $51.29 / $87.10	Professional		$44.67	$51.29	$87.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $16.22 / $25.12	Professional	26	$14.13	$16.22	$25.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $37.15 / $61.66	Professional	TC	$32.36	$37.15	$61.66