Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $100.00 / $100.00	Professional		$81.28	$100.00	$100.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $38.90 / $85.11	Professional	26	$30.90	$38.90	$85.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $63.10 / $63.10	Professional	TC	$50.12	$63.10	$63.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $107.15	Professional		$97.72	$97.72	$107.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $34.67 / $38.02	Professional	26	$34.67	$34.67	$38.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $64.57 / $67.61	Professional	TC	$64.57	$64.57	$67.61
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $120.23 / $151.36	Professional		$114.82	$120.23	$151.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $97.72 / $151.36	Professional		$66.07	$97.72	$151.36
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $36.31 / $56.23	Professional	26	$23.99	$36.31	$56.23
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $64.57 / $95.50	Professional	TC	$41.69	$64.57	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $117.49	Professional		$44.67	$44.67	$117.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $16.60 / $42.66	Professional	26	$12.88	$16.60	$42.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $32.36 / $75.86	Professional	TC	$28.18	$32.36	$75.86