Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	26	$30.90	$30.90	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $72.44 / $223.87	Professional		$50.12	$72.44	$223.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $20.42 / $72.44	Professional	26	$12.02	$20.42	$72.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $46.77 / $91.20	Professional	TC	$33.11	$46.77	$91.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $81.28 / $81.28	Professional		$19.50	$81.28	$81.28
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 $43.65 / $70.79 / $123.03	Professional		$43.65	$70.79	$123.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $19.50 / $34.67	Professional	26	$12.88	$19.50	$34.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $52.48 / $93.33	Professional	TC	$30.20	$52.48	$93.33
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $89.13 / $134.90	Professional		$81.28	$89.13	$134.90
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 $69.18 / $114.82 / $138.04	Professional		$69.18	$114.82	$138.04
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $20.89 / $29.51	Professional	26	$12.88	$20.89	$29.51
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $56.23 / $91.20	Professional	TC	$35.48	$56.23	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $53.70 / $87.10	Professional		$48.98	$53.70	$87.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $15.85 / $25.12	Professional	26	$13.49	$15.85	$25.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $37.15 / $61.66	Professional	TC	$33.11	$37.15	$61.66