Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $302.00	Professional		$95.50	$128.82	$302.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $39.81 / $89.13	Professional	26	$23.44	$39.81	$89.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $190.55	Professional		$58.88	$58.88	$190.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $58.88 / $74.13	Facility	26	$58.88	$58.88	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $154.88 / $288.40	Professional		$81.28	$154.88	$288.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $34.67 / $95.50	Professional	26	$20.89	$34.67	$95.50
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $316.23	Professional		$173.78	$208.93	$316.23
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $58.88 / $74.13	Facility	26	$58.88	$58.88	$74.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $275.42 / $338.84	Professional		$151.36	$275.42	$338.84
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $52.48 / $87.10	Professional	26	$22.91	$52.48	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $208.93	Professional		$100.00	$123.03	$208.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $41.69 / $69.18	Professional	26	$23.44	$41.69	$69.18