Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $128.82 / $128.82	Professional		$57.54	$128.82	$128.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $38.90 / $38.90	Professional	26	$25.70	$38.90	$38.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $89.13 / $89.13	Professional	TC	$31.62	$89.13	$89.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $128.82	Professional		$38.02	$38.02	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $128.82	Professional		$100.00	$100.00	$128.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $38.02 / $41.69	Professional	26	$38.02	$38.02	$41.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $57.54 / $89.13	Professional	TC	$57.54	$57.54	$89.13
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $154.88	Professional		$104.71	$134.90	$154.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $104.71 / $194.98	Professional		$69.18	$104.71	$194.98
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $38.02 / $56.23	Professional	26	$23.44	$38.02	$56.23
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $69.18 / $134.90	Professional	TC	$46.77	$69.18	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $41.69 / $120.23	Professional		$38.90	$41.69	$120.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $15.85 / $42.66	Professional	26	$15.85	$15.85	$42.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $25.70 / $74.13	Professional	TC	$23.44	$25.70	$74.13