Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $67.61 / $117.49	Professional		$48.98	$67.61	$117.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $45.71 / $79.43	Professional	26	$34.67	$45.71	$79.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.18 / $69.18 / $83.18	Facility	26	$69.18	$69.18	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $75.86 / $281.84	Professional		$50.12	$75.86	$281.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $52.48 / $190.55	Professional	26	$35.48	$52.48	$190.55
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $109.65 / $120.23	Professional		$100.00	$109.65	$120.23
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $69.18 / $69.18 / $83.18	Facility	26	$69.18	$69.18	$83.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $141.25 / $169.82	Professional		$67.61	$141.25	$169.82
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $60.26 / $95.50	Professional	26	$44.67	$60.26	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $120.23	Professional		$72.44	$104.71	$120.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $74.13 / $85.11	Professional	26	$51.29	$74.13	$85.11