Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $36.31 / $36.31	Facility	26	$36.31	$36.31	$36.31
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $263.03 / $346.74 / $346.74	Facility	TC	$263.03	$346.74	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $51.29 / $186.21	Professional		$30.90	$51.29	$186.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $17.38 / $64.57	Professional	26	$10.23	$17.38	$64.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $29.51 / $72.44	Professional	TC	$20.89	$29.51	$72.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $57.54 / $57.54	Professional		$16.98	$57.54	$57.54
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 Facility Modifier TC Low / Median / High Price $40.74 / $40.74 / $51.29	Facility	TC	$40.74	$40.74	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $45.71 / $87.10	Professional		$26.92	$45.71	$87.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $15.49 / $28.18	Professional	26	$9.12	$15.49	$28.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $31.62 / $61.66	Professional	TC	$18.62	$31.62	$61.66
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $63.10 / $95.50	Professional		$53.70	$63.10	$95.50
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 Facility Modifier TC Low / Median / High Price $40.74 / $40.74 / $51.29	Facility	TC	$40.74	$40.74	$51.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $81.28 / $97.72	Professional		$43.65	$81.28	$97.72
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $16.98 / $25.12	Professional	26	$10.72	$16.98	$25.12
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $37.15 / $60.26	Professional	TC	$22.39	$37.15	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $36.31 / $61.66	Professional		$33.88	$36.31	$61.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $12.30 / $19.95	Professional	26	$11.75	$12.30	$19.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $24.55 / $41.69	Professional	TC	$21.88	$24.55	$41.69