Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $44.67 / $154.88	Professional		$19.95	$44.67	$154.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $25.70 / $43.65	Professional	26	$11.75	$25.70	$43.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $7.08 / $12.59 / $17.38	Professional	TC	$7.08	$12.59	$17.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $32.36	Professional		$18.20	$18.20	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $34.67	Professional		$32.36	$32.36	$34.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $18.20 / $20.89	Professional	26	$18.20	$18.20	$20.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.49 / $13.49 / $13.80	Professional	TC	$13.49	$13.49	$13.80
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $35.48 / $43.65	Facility		$34.67	$35.48	$43.65
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $35.48 / $43.65	Professional		$34.67	$35.48	$43.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $27.54 / $44.67	Facility		$18.20	$27.54	$44.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $32.36 / $46.77	Professional		$19.95	$32.36	$46.77
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $18.20 / $27.54	Professional	26	$11.75	$18.20	$27.54
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $8.13 / $13.49 / $19.05	Professional	TC	$8.13	$13.49	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $35.48	Professional		$13.18	$13.18	$35.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $7.94 / $20.89	Professional	26	$7.76	$7.94	$20.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $5.13 / $5.37 / $14.45	Professional	TC	$5.13	$5.37	$14.45