Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $109.65 / $234.42	Professional		$79.43	$109.65	$234.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $21.88 / $45.71	Professional	26	$18.20	$21.88	$45.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $83.18 / $162.18	Professional	TC	$60.26	$83.18	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $154.88	Professional		$30.90	$30.90	$154.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.90 / $30.90 / $38.02	Facility	26	$30.90	$30.90	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $112.20 / $234.42	Professional		$70.79	$112.20	$234.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $26.30 / $51.29	Professional	26	$16.22	$26.30	$51.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $85.11 / $186.21	Professional	TC	$56.23	$85.11	$186.21
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $257.04	Professional		$128.82	$169.82	$257.04
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $30.90 / $30.90 / $38.02	Facility	26	$30.90	$30.90	$38.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $218.78 / $263.03	Professional		$104.71	$218.78	$263.03
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $30.90 / $45.71	Professional	26	$19.50	$30.90	$45.71
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $114.82 / $181.97	Professional	TC	$61.66	$114.82	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $158.49	Professional		$81.28	$95.50	$158.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $21.38 / $36.31	Professional	26	$20.89	$21.38	$36.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $72.44 / $123.03	Professional	TC	$60.26	$72.44	$123.03