Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $40.74 / $147.91	Professional		$32.36	$40.74	$147.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $13.18 / $51.29	Professional	26	$8.91	$13.18	$51.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $28.18 / $48.98	Professional	TC	$19.95	$28.18	$48.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $54.95	Professional		$15.85	$15.85	$54.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.85 / $15.85 / $19.50	Facility	26	$15.85	$15.85	$19.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $45.71 / $81.28	Professional		$30.20	$45.71	$81.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $15.85 / $27.54	Professional	26	$9.55	$15.85	$27.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $33.11 / $58.88	Professional	TC	$20.42	$33.11	$58.88
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $91.20	Professional		$50.12	$60.26	$91.20
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $15.85 / $15.85 / $19.50	Facility	26	$15.85	$15.85	$19.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $77.62 / $93.33	Professional		$44.67	$77.62	$93.33
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $16.22 / $23.44	Professional	26	$10.47	$16.22	$23.44
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $37.15 / $56.23	Professional	TC	$23.99	$37.15	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $34.67 / $58.88	Professional		$30.90	$34.67	$58.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $11.22 / $19.50	Professional	26	$11.22	$11.22	$19.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $23.44 / $40.74	Professional	TC	$20.42	$23.44	$40.74