Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $75.86 / $223.87	Professional		$40.74	$75.86	$223.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $44.67 / $112.20	Professional	26	$19.95	$44.67	$112.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $23.44 / $58.88	Professional	TC	$16.98	$23.44	$58.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $70.79 / $70.79	Professional		$37.15	$70.79	$70.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $37.15 / $45.71	Facility	26	$37.15	$37.15	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $77.62 / $104.71	Professional		$57.54	$77.62	$104.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $37.15 / $54.95	Professional	26	$25.12	$37.15	$54.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $36.31 / $61.66	Professional	TC	$26.92	$36.31	$61.66
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $77.62 / $97.72	Professional		$74.13	$77.62	$97.72
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $37.15 / $45.71	Facility	26	$37.15	$37.15	$45.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $79.43 / $104.71	Professional		$63.10	$79.43	$104.71
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $37.15 / $48.98	Professional	26	$25.12	$37.15	$48.98
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $33.88 / $50.12	Professional	TC	$26.92	$33.88	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $48.98 / $81.28	Professional		$47.86	$48.98	$81.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $25.70 / $43.65	Professional	26	$25.12	$25.70	$43.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $23.44 / $38.90	Professional	TC	$21.88	$23.44	$38.90