Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $48.98 / $91.20	Professional		$25.12	$48.98	$91.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $15.85 / $30.20	Professional	26	$12.88	$15.85	$30.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.75 / $30.90 / $56.23	Professional	TC	$11.75	$30.90	$56.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $70.79	Professional		$22.39	$22.39	$70.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.39 / $22.39 / $26.92	Facility	26	$22.39	$22.39	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $60.26 / $158.49	Professional		$28.84	$60.26	$158.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $22.39 / $50.12	Professional	26	$15.85	$22.39	$50.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $38.02 / $109.65	Professional	TC	$13.18	$38.02	$109.65
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $77.62 / $81.28	Professional		$43.65	$77.62	$81.28
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $22.39 / $22.39 / $26.92	Facility	26	$22.39	$22.39	$26.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $64.57 / $112.20	Professional		$42.66	$64.57	$112.20
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $21.38 / $28.18	Professional	26	$15.49	$21.38	$28.18
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $34.67 / $57.54	Professional	TC	$17.78	$34.67	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $63.10 / $79.43	Professional		$42.66	$63.10	$79.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $25.12 / $30.20	Professional	26	$20.89	$25.12	$30.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $38.90 / $50.12	Professional	TC	$19.05	$38.90	$50.12