Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $223.87 / $223.87	Facility	26	$48.98	$223.87	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $79.43 / $218.78	Professional		$50.12	$79.43	$218.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $53.70 / $165.96	Professional	26	$26.30	$53.70	$165.96
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.45 / $53.70 / $281.84	Professional	52	$14.45	$53.70	$281.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $30.90 / $134.90	Professional	TC	$21.88	$30.90	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $44.67 / $54.95	Facility	26	$44.67	$44.67	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $74.13 / $128.82	Professional		$44.67	$74.13	$128.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $39.81 / $72.44	Professional	26	$23.44	$39.81	$72.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $36.31 / $56.23	Professional	TC	$20.89	$36.31	$56.23
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $100.00	Professional		$67.61	$89.13	$100.00
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $44.67 / $54.95	Facility	26	$44.67	$44.67	$54.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $114.82 / $141.25	Professional		$74.13	$114.82	$141.25
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $44.67 / $64.57	Professional	26	$27.54	$44.67	$64.57
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $38.02 / $54.95	Professional	TC	$23.99	$38.02	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $63.10 / $95.50	Professional		$61.66	$63.10	$95.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $33.88 / $51.29	Professional	26	$33.11	$33.88	$51.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $28.84 / $43.65	Professional	TC	$27.54	$28.84	$43.65