Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $53.70 / $128.82	Professional		$37.15	$53.70	$128.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $18.62 / $75.86	Professional	26	$12.02	$18.62	$75.86
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $144.54 / $144.54 / $144.54	Professional	52	$144.54	$144.54	$144.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $33.88 / $72.44	Professional	TC	$22.91	$33.88	$72.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $70.79 / $70.79	Professional		$20.42	$70.79	$70.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.42 / $20.42 / $25.12	Facility	26	$20.42	$20.42	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $56.23 / $107.15	Professional		$33.11	$56.23	$107.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $19.95 / $34.67	Professional	26	$12.02	$19.95	$34.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $34.67 / $75.86	Professional	TC	$20.89	$34.67	$75.86
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $77.62 / $117.49	Professional		$60.26	$77.62	$117.49
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $20.42 / $20.42 / $25.12	Facility	26	$20.42	$20.42	$25.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $100.00 / $120.23	Professional		$50.12	$100.00	$120.23
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $20.42 / $30.20	Professional	26	$12.88	$20.42	$30.20
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $46.77 / $74.13	Professional	TC	$27.54	$46.77	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $44.67 / $75.86	Professional		$38.02	$44.67	$75.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $14.79 / $24.55	Professional	26	$14.13	$14.79	$24.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $30.90 / $51.29	Professional	TC	$22.91	$30.90	$51.29