Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $87.10 / $151.36	Professional		$64.57	$87.10	$151.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $26.92 / $52.48	Professional	26	$10.96	$26.92	$52.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $53.70 / $79.43	Professional	TC	$47.86	$53.70	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $67.61	Professional		$17.38	$17.38	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $74.13	Professional		$67.61	$67.61	$74.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $17.38 / $19.05	Professional	26	$17.38	$17.38	$19.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $50.12 / $54.95	Professional	TC	$50.12	$50.12	$54.95
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $74.13 / $95.50	Facility		$67.61	$74.13	$95.50
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $74.13 / $95.50	Professional		$67.61	$74.13	$95.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $58.88 / $93.33	Facility		$35.48	$58.88	$93.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $66.07 / $97.72	Professional		$39.81	$66.07	$97.72
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $17.38 / $25.12	Professional	26	$10.72	$17.38	$25.12
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $47.86 / $72.44	Professional	TC	$28.84	$47.86	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $27.54 / $72.44	Professional		$25.12	$27.54	$72.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $7.08 / $19.05	Professional	26	$7.08	$7.08	$19.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $20.42 / $51.29	Professional	TC	$17.78	$20.42	$51.29