Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $66.07 / $165.96	Professional		$54.95	$66.07	$165.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $47.86 / $229.09	Professional	26	$39.81	$47.86	$229.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $19.95 / $48.98	Professional	TC	$17.38	$19.95	$48.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $102.33	Professional		$72.44	$72.44	$102.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $72.44 / $89.13	Facility	26	$72.44	$72.44	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $75.86 / $125.89	Professional		$53.70	$75.86	$125.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $48.98 / $87.10	Professional	26	$38.90	$48.98	$87.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $24.55 / $38.02	Professional	TC	$15.85	$24.55	$38.02
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $112.20 / $295.12	Professional		$102.33	$112.20	$295.12
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $72.44 / $89.13	Facility	26	$72.44	$72.44	$89.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $102.33 / $151.36	Professional		$61.66	$102.33	$151.36
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $72.44 / $107.15	Professional	26	$43.65	$72.44	$107.15
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $29.51 / $44.67	Professional	TC	$19.05	$29.51	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $83.18 / $112.20	Professional		$79.43	$83.18	$112.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $58.88 / $79.43	Professional	26	$56.23	$58.88	$79.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $23.99 / $32.36	Professional	TC	$23.44	$23.99	$32.36