Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $51.29 / $120.23	Professional		$38.02	$51.29	$120.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $19.50 / $56.23	Professional	26	$14.13	$19.50	$56.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $32.36 / $61.66	Professional	TC	$23.99	$32.36	$61.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $74.13	Professional		$25.70	$25.70	$74.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.70 / $25.70 / $31.62	Facility	26	$25.70	$25.70	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $61.66 / $112.20	Professional		$35.48	$61.66	$112.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $22.91 / $40.74	Professional	26	$13.80	$22.91	$40.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $40.74 / $72.44	Professional	TC	$21.88	$40.74	$72.44
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $123.03	Professional		$61.66	$79.43	$123.03
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $25.70 / $25.70 / $31.62	Facility	26	$25.70	$25.70	$31.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $104.71 / $125.89	Professional		$52.48	$104.71	$125.89
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $25.70 / $37.15	Professional	26	$15.14	$25.70	$37.15
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $44.67 / $69.18	Professional	TC	$26.92	$44.67	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $46.77 / $79.43	Professional		$40.74	$46.77	$79.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $17.78 / $30.20	Professional	26	$16.22	$17.78	$30.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $28.84 / $47.86	Professional	TC	$24.55	$28.84	$47.86