Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $147.91 / $331.13	Professional		$89.13	$147.91	$331.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $33.88 / $85.11	Professional	26	$23.99	$33.88	$85.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $112.20 / $245.47	Professional	TC	$69.18	$112.20	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $51.29 / $61.66	Facility	26	$51.29	$51.29	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $47.86 / $208.93	Professional		$46.77	$47.86	$208.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $14.13 / $51.29	Professional	26	$12.88	$14.13	$51.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $33.88 / $158.49	Professional	TC	$33.11	$33.88	$158.49
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $229.09 / $269.15	Professional		$173.78	$229.09	$269.15
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $51.29 / $61.66	Facility	26	$51.29	$51.29	$61.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $186.21 / $251.19	Professional		$47.86	$186.21	$251.19
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $47.86 / $63.10	Professional	26	$14.13	$47.86	$63.10
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $141.25 / $186.21	Professional	TC	$33.88	$141.25	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $141.25	Professional		$60.26	$85.11	$141.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $21.88 / $36.31	Professional	26	$16.98	$21.88	$36.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $63.10 / $104.71	Professional	TC	$43.65	$63.10	$104.71