Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $66.07 / $131.83	Professional		$46.77	$66.07	$131.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $14.13 / $33.88	Professional	26	$12.02	$14.13	$33.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $50.12 / $91.20	Professional	TC	$36.31	$50.12	$91.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $95.50	Professional		$20.42	$20.42	$95.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.42 / $20.42 / $25.12	Facility	26	$20.42	$20.42	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $70.79 / $141.25	Professional		$42.66	$70.79	$141.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $17.38 / $33.88	Professional	26	$11.48	$17.38	$33.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $52.48 / $112.20	Professional	TC	$33.11	$52.48	$112.20
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $104.71 / $154.88	Professional		$83.18	$104.71	$154.88
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $20.42 / $20.42 / $25.12	Facility	26	$20.42	$20.42	$25.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $131.83 / $158.49	Professional		$67.61	$131.83	$158.49
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $20.42 / $30.90	Professional	26	$12.59	$20.42	$30.90
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $66.07 / $109.65	Professional	TC	$38.02	$66.07	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $56.23 / $95.50	Professional		$52.48	$56.23	$95.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $15.14 / $24.55	Professional	26	$14.13	$15.14	$24.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $42.66 / $72.44	Professional	TC	$37.15	$42.66	$72.44