Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $70.79 / $194.98	Professional		$38.90	$70.79	$194.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $30.20 / $112.20	Professional	26	$23.44	$30.20	$112.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $30.20 / $100.00	Professional	TC	$15.14	$30.20	$100.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $61.66	Professional		$37.15	$37.15	$61.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $37.15 / $45.71	Facility	26	$37.15	$37.15	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $83.18 / $134.90	Professional		$32.36	$83.18	$134.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $30.20 / $54.95	Professional	26	$19.95	$30.20	$54.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $51.29 / $89.13	Professional	TC	$12.02	$51.29	$89.13
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $72.44 / $295.12	Professional		$67.61	$72.44	$295.12
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $37.15 / $45.71	Facility	26	$37.15	$37.15	$45.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $70.79 / $134.90	Professional		$39.81	$70.79	$134.90
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $37.15 / $54.95	Professional	26	$24.55	$37.15	$54.95
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $33.11 / $89.13	Professional	TC	$15.14	$33.11	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $81.28 / $123.03	Professional		$60.26	$81.28	$123.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $34.67 / $42.66	Professional	26	$30.90	$34.67	$42.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $39.81 / $81.28	Professional	TC	$29.51	$39.81	$81.28