Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $72.44 / $199.53	Professional		$28.84	$72.44	$199.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $50.12 / $107.15	Professional	26	$18.62	$50.12	$107.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $69.18 / $70.79 / $234.42	Professional	50	$69.18	$70.79	$234.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $8.91 / $33.11 / $81.28	Professional	TC	$8.91	$33.11	$81.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $100.00 / $100.00	Professional		$51.29	$100.00	$100.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $51.29 / $63.10	Facility	26	$51.29	$51.29	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $81.28 / $125.89	Professional		$34.67	$81.28	$125.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $40.74 / $58.88	Professional	26	$22.39	$40.74	$58.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.48 / $45.71 / $72.44	Professional	TC	$11.48	$45.71	$72.44
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $109.65 / $123.03	Professional		$60.26	$109.65	$123.03
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $51.29 / $63.10	Facility	26	$51.29	$51.29	$63.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $95.50 / $151.36	Professional		$58.88	$95.50	$151.36
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $40.74 / $63.10	Professional	26	$23.99	$40.74	$63.10
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $48.98 / $61.66	Professional	TC	$15.14	$48.98	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $57.54 / $95.50	Professional		$33.11	$57.54	$95.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $25.12 / $41.69	Professional	26	$21.88	$25.12	$41.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $33.11 / $53.70	Professional	TC	$10.96	$33.11	$53.70