Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $44.67 / $117.49	Professional		$19.05	$44.67	$117.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $19.95 / $52.48	Professional	26	$10.00	$19.95	$52.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.48 / $26.30 / $50.12	Professional	TC	$11.48	$26.30	$50.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $67.61	Professional		$23.44	$23.44	$67.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.44 / $23.44 / $29.51	Facility	26	$23.44	$23.44	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $28.84 / $93.33	Professional		$15.85	$28.84	$93.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $12.88 / $37.15	Professional	26	$7.08	$12.88	$37.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.33 / $19.05 / $66.07	Professional	TC	$9.33	$19.05	$66.07
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $72.44 / $112.20	Professional		$28.18	$72.44	$112.20
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $23.44 / $23.44 / $29.51	Facility	26	$23.44	$23.44	$29.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $95.50 / $109.65	Professional		$22.39	$95.50	$109.65
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $21.88 / $35.48	Professional	26	$7.59	$21.88	$35.48
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $11.48 / $37.15 / $66.07	Professional	TC	$11.48	$37.15	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $43.65 / $72.44	Professional		$18.62	$43.65	$72.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $16.22 / $26.92	Professional	26	$7.94	$16.22	$26.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $27.54 / $45.71	Professional	TC	$10.96	$27.54	$45.71