Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $30.90 / $67.61	Professional		$26.92	$30.90	$67.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $25.12 / $32.36	Professional	26	$22.91	$25.12	$32.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.98 / $3.98 / $26.92	Professional	TC	$3.98	$3.98	$26.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $45.71	Professional		$38.02	$38.02	$45.71
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $38.02 / $38.02	Facility	26	$38.02	$38.02	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.02 / $45.71	Professional		$25.12	$38.02	$45.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $32.36 / $38.90	Professional	26	$22.39	$32.36	$38.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.82 / $5.25 / $10.00	Professional	TC	$2.82	$5.25	$10.00
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $48.98 / $58.88	Professional		$37.15	$48.98	$58.88
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $38.02 / $38.02	Facility	26	$38.02	$38.02	$38.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.02 / $45.71	Professional		$25.12	$38.02	$45.71
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $32.36 / $38.90	Professional	26	$19.50	$32.36	$38.90
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $2.00 / $5.75 / $13.49	Professional	TC	$2.00	$5.75	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $48.98 / $81.28	Professional		$34.67	$48.98	$81.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $39.81 / $46.77	Professional	26	$24.55	$39.81	$46.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.98 / $6.92 / $54.95	Professional	TC	$3.98	$6.92	$54.95