Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $66.07 / $181.97	Professional		$51.29	$66.07	$181.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $20.89 / $41.69	Professional	26	$6.92	$20.89	$41.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $48.98 / $51.29	Professional	TC	$35.48	$48.98	$51.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $52.48	Professional		$10.47	$10.47	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $10.47 / $11.75	Professional	26	$10.47	$10.47	$11.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $40.74 / $41.69	Professional	TC	$40.74	$40.74	$41.69
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $57.54 / $72.44	Facility		$51.29	$57.54	$72.44
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $57.54 / $72.44	Professional		$51.29	$57.54	$72.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $40.74 / $74.13	Facility		$26.92	$40.74	$74.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $75.86	Professional		$30.20	$50.12	$75.86
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $10.47 / $15.49	Professional	26	$6.46	$10.47	$15.49
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $39.81 / $61.66	Professional	TC	$23.44	$39.81	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.95 / $53.70	Professional		$19.05	$19.95	$53.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $4.37 / $4.47 / $11.48	Professional	26	$4.37	$4.47	$11.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $15.14 / $41.69	Professional	TC	$14.45	$15.14	$41.69