Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $162.18 / $407.38	Professional		$79.43	$162.18	$407.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $61.66 / $134.90	Professional	26	$28.84	$61.66	$134.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $66.07 / $213.80	Professional	TC	$40.74	$66.07	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $128.82 / $128.82	Professional		$47.86	$128.82	$128.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $47.86 / $58.88	Facility	26	$47.86	$47.86	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $186.21	Professional		$89.13	$128.82	$186.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $46.77 / $72.44	Professional	26	$31.62	$46.77	$72.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $79.43 / $117.49	Professional	TC	$54.95	$79.43	$117.49
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $141.25 / $181.97	Professional		$138.04	$141.25	$181.97
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $47.86 / $58.88	Facility	26	$47.86	$47.86	$58.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $141.25 / $190.55	Professional		$104.71	$141.25	$190.55
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $47.86 / $63.10	Professional	26	$32.36	$47.86	$63.10
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $79.43 / $114.82	Professional	TC	$54.95	$79.43	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $91.20 / $147.91	Professional		$85.11	$91.20	$147.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $33.11 / $56.23	Professional	26	$32.36	$33.11	$56.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $57.54 / $93.33	Professional	TC	$52.48	$57.54	$93.33