Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $223.87 / $223.87 / $223.87	Facility	TC	$223.87	$223.87	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $37.15 / $109.65	Professional		$22.91	$37.15	$109.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.72 / $37.15	Professional	26	$7.94	$10.72	$37.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $25.70 / $54.95	Professional	TC	$19.05	$25.70	$54.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $52.48	Professional		$14.13	$14.13	$52.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $14.13 / $17.38	Facility	26	$14.13	$14.13	$17.38
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $38.02 / $38.02 / $46.77	Facility	TC	$38.02	$38.02	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $39.81 / $77.62	Professional		$23.99	$39.81	$77.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $12.02 / $22.91	Professional	26	$7.59	$12.02	$22.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $28.18 / $56.23	Professional	TC	$17.38	$28.18	$56.23
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $57.54 / $85.11	Professional		$47.86	$57.54	$85.11
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $14.13 / $17.38	Facility	26	$14.13	$14.13	$17.38
Providence Facility/Professional Facility Modifier TC Low / Median / High Price $38.02 / $38.02 / $46.77	Facility	TC	$38.02	$38.02	$46.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $72.44 / $87.10	Professional		$38.90	$72.44	$87.10
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $14.13 / $20.89	Professional	26	$8.71	$14.13	$20.89
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $33.88 / $56.23	Professional	TC	$20.42	$33.88	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $32.36 / $53.70	Professional		$29.51	$32.36	$53.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $10.00 / $16.60	Professional	26	$9.77	$10.00	$16.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $22.39 / $38.02	Professional	TC	$19.95	$22.39	$38.02