Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.90 / $89.13	Professional		$23.99	$30.90	$89.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $8.91 / $33.88	Professional	26	$7.08	$8.91	$33.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $21.88 / $54.95	Professional	TC	$16.98	$21.88	$54.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $46.77 / $46.77	Professional		$12.59	$46.77	$46.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $12.59 / $15.49	Facility	26	$12.59	$12.59	$15.49
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $33.88 / $33.88 / $41.69	Facility	TC	$33.88	$33.88	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $37.15 / $69.18	Professional		$22.39	$37.15	$69.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $10.72 / $20.42	Professional	26	$6.76	$10.72	$20.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $26.92 / $50.12	Professional	TC	$15.49	$26.92	$50.12
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $51.29 / $75.86	Professional		$44.67	$51.29	$75.86
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $12.59 / $15.49	Facility	26	$12.59	$12.59	$15.49
Providence Facility/Professional Facility Modifier TC Low / Median / High Price $33.88 / $33.88 / $41.69	Facility	TC	$33.88	$33.88	$41.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $64.57 / $77.62	Professional		$36.31	$64.57	$77.62
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $12.59 / $18.20	Professional	26	$7.76	$12.59	$18.20
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $32.36 / $50.12	Professional	TC	$19.50	$32.36	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $29.51 / $50.12	Professional		$28.18	$29.51	$50.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $8.91 / $14.79	Professional	26	$8.51	$8.91	$14.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $20.89 / $35.48	Professional	TC	$19.50	$20.89	$35.48