Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $223.87 / $870.96	Professional		$67.61	$223.87	$870.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $151.36 / $691.83	Professional	26	$33.11	$151.36	$691.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $43.65 / $218.78	Professional	TC	$33.88	$43.65	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $104.71	Professional		$51.29	$51.29	$104.71
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 $54.95 / $89.13 / $134.90	Professional		$54.95	$89.13	$134.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $34.67 / $61.66	Professional	26	$27.54	$34.67	$61.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $51.29 / $72.44	Professional	TC	$27.54	$51.29	$72.44
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $114.82 / $295.12	Professional		$112.20	$114.82	$295.12
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 $67.61 / $102.33 / $154.88	Professional		$67.61	$102.33	$154.88
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $51.29 / $75.86	Professional	26	$30.90	$51.29	$75.86
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $50.12 / $79.43	Professional	TC	$33.88	$50.12	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $87.10 / $114.82	Professional		$85.11	$87.10	$114.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $41.69 / $56.23	Professional	26	$39.81	$41.69	$56.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $47.86 / $60.26	Professional	TC	$42.66	$47.86	$60.26