Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $26.92 / $33.88	Professional		$23.99	$26.92	$33.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $21.38 / $25.70	Professional	26	$19.05	$21.38	$25.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.98 / $3.98 / $6.03	Professional	TC	$3.98	$3.98	$6.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $39.81	Professional		$32.36	$32.36	$39.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $32.36 / $32.36	Facility	26	$32.36	$32.36	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.88 / $41.69	Professional		$21.88	$33.88	$41.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $29.51 / $33.11	Professional	26	$18.62	$29.51	$33.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.16 / $5.75 / $10.00	Professional	TC	$3.16	$5.75	$10.00
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $42.66 / $61.66	Professional		$32.36	$42.66	$61.66
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $32.36 / $32.36	Facility	26	$32.36	$32.36	$32.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.88 / $40.74	Professional		$21.88	$33.88	$40.74
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $28.18 / $33.11	Professional	26	$16.60	$28.18	$33.11
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $2.00 / $5.75 / $14.45	Professional	TC	$2.00	$5.75	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $41.69 / $79.43	Professional		$30.20	$41.69	$79.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $33.88 / $38.90	Professional	26	$25.12	$33.88	$38.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $4.37 / $6.92 / $47.86	Professional	TC	$4.37	$6.92	$47.86