Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $38.02 / $38.02	Facility	26	$38.02	$38.02	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $87.10 / $245.47	Professional		$34.67	$87.10	$245.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $10.96 / $48.98	Professional	26	$8.91	$10.96	$48.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $46.77 / $125.89	Professional	TC	$23.99	$46.77	$125.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $61.66 / $61.66	Professional		$14.79	$61.66	$61.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.79 / $14.79 / $18.20	Facility	26	$14.79	$14.79	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $85.11 / $125.89	Professional		$38.02	$85.11	$125.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $13.49 / $23.99	Professional	26	$8.91	$13.49	$23.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $69.18 / $114.82	Professional	TC	$28.84	$69.18	$114.82
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $67.61 / $107.15	Professional		$66.07	$67.61	$107.15
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $14.79 / $14.79 / $18.20	Facility	26	$14.79	$14.79	$18.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $91.20 / $102.33	Professional		$53.70	$91.20	$102.33
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $14.79 / $21.38	Professional	26	$9.12	$14.79	$21.38
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $46.77 / $81.28	Professional	TC	$28.84	$46.77	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $56.23 / $97.72	Professional		$29.51	$56.23	$97.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $8.13 / $17.78	Professional	26	$7.41	$8.13	$17.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $36.31 / $74.13	Professional	TC	$21.88	$36.31	$74.13