Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $31.62 / $47.86	Professional		$25.70	$31.62	$47.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $4.27 / $9.55 / $39.81	Professional	26	$4.27	$9.55	$39.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $22.39 / $23.44	Professional	TC	$16.98	$22.39	$23.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $25.70	Professional		$6.92	$6.92	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.70	Professional		$25.12	$25.12	$25.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $6.92 / $7.59	Professional	26	$6.92	$6.92	$7.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $17.38 / $19.05	Professional	TC	$17.38	$17.38	$19.05
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $28.18 / $38.90	Facility		$27.54	$28.18	$38.90
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $28.18 / $38.90	Professional		$27.54	$28.18	$38.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $19.05 / $37.15	Facility		$13.18	$19.05	$37.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $23.99 / $38.02	Professional		$14.45	$23.99	$38.02
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $4.17 / $6.92 / $10.00	Professional	26	$4.17	$6.92	$10.00
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $10.23 / $17.38 / $28.18	Professional	TC	$10.23	$17.38	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.55 / $27.54	Professional		$9.33	$9.55	$27.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.82 / $2.82 / $7.59	Professional	26	$2.82	$2.82	$7.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $6.46 / $6.76 / $19.05	Professional	TC	$6.46	$6.76	$19.05