Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $85.11 / $154.88	Professional		$64.57	$85.11	$154.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $47.86 / $85.11	Professional	26	$38.02	$47.86	$85.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $63.10 / $75.86	Facility	26	$63.10	$63.10	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $109.65 / $269.15	Professional		$70.79	$109.65	$269.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $63.10 / $144.54	Professional	26	$45.71	$63.10	$144.54
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $128.82 / $134.90	Professional		$107.15	$128.82	$134.90
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $63.10 / $75.86	Facility	26	$63.10	$63.10	$75.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $190.55	Professional		$77.62	$112.20	$190.55
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $61.66 / $93.33	Professional	26	$43.65	$61.66	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $117.49 / $138.04	Professional		$102.33	$117.49	$138.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $72.44 / $83.18	Professional	26	$63.10	$72.44	$83.18