Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $53.70 / $194.98	Professional		$34.67	$53.70	$194.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $14.13 / $29.51	Professional	26	$10.00	$14.13	$29.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $41.69 / $75.86	Professional	TC	$23.99	$41.69	$75.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $64.57	Professional		$16.98	$16.98	$64.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $16.98 / $20.89	Facility	26	$16.98	$16.98	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $63.10 / $100.00	Professional		$36.31	$63.10	$100.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $16.22 / $27.54	Professional	26	$9.77	$16.22	$27.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $45.71 / $72.44	Professional	TC	$26.30	$45.71	$72.44
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $70.79 / $109.65	Professional		$67.61	$70.79	$109.65
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $16.98 / $20.89	Facility	26	$16.98	$16.98	$20.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $91.20 / $109.65	Professional		$56.23	$91.20	$109.65
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $16.98 / $24.55	Professional	26	$10.47	$16.98	$24.55
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $47.86 / $69.18	Professional	TC	$28.84	$47.86	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $47.86 / $70.79	Professional		$39.81	$47.86	$70.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $11.48 / $19.50	Professional	26	$11.22	$11.48	$19.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $36.31 / $50.12	Professional	TC	$28.18	$36.31	$50.12