Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $46.77 / $154.88	Professional		$35.48	$46.77	$154.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $17.78 / $61.66	Professional	26	$10.96	$17.78	$61.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $32.36 / $77.62	Professional	TC	$23.44	$32.36	$77.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $67.61 / $67.61	Professional		$19.50	$67.61	$67.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $19.50 / $23.99	Facility	26	$19.50	$19.50	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $52.48 / $100.00	Professional		$30.90	$52.48	$100.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $16.98 / $33.11	Professional	26	$10.72	$16.98	$33.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $35.48 / $72.44	Professional	TC	$21.88	$35.48	$72.44
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $74.13 / $112.20	Professional		$61.66	$74.13	$112.20
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $19.50 / $23.99	Facility	26	$19.50	$19.50	$23.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $95.50 / $114.82	Professional		$51.29	$95.50	$114.82
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $19.50 / $28.18	Professional	26	$12.02	$19.50	$28.18
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $43.65 / $70.79	Professional	TC	$25.70	$43.65	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $42.66 / $70.79	Professional		$38.90	$42.66	$70.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $14.13 / $23.44	Professional	26	$13.49	$14.13	$23.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $28.18 / $47.86	Professional	TC	$25.70	$28.18	$47.86