Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $91.20 / $169.82	Professional		$69.18	$91.20	$169.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $50.12 / $128.82	Professional	26	$40.74	$50.12	$128.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $41.69 / $79.43	Professional	TC	$24.55	$41.69	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $131.83	Professional		$63.10	$63.10	$131.83
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 $74.13 / $117.49 / $295.12	Professional		$74.13	$117.49	$295.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $63.10 / $144.54	Professional	26	$46.77	$63.10	$144.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $52.48 / $151.36	Professional	TC	$25.70	$52.48	$151.36
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $141.25 / $147.91	Professional		$107.15	$141.25	$147.91
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 $83.18 / $125.89 / $208.93	Professional		$83.18	$125.89	$208.93
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $60.26 / $93.33	Professional	26	$42.66	$60.26	$93.33
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $51.29 / $81.28	Professional	TC	$26.92	$51.29	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $123.03 / $151.36	Professional		$102.33	$123.03	$151.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $72.44 / $87.10	Professional	26	$57.54	$72.44	$87.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $52.48 / $69.18	Professional	TC	$37.15	$52.48	$69.18