Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $61.66 / $109.65	Professional		$38.02	$61.66	$109.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $23.99 / $63.10	Professional	26	$19.50	$23.99	$63.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $34.67 / $66.07	Professional	TC	$16.98	$34.67	$66.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $89.13 / $89.13	Professional		$31.62	$89.13	$89.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.62 / $31.62 / $37.15	Facility	26	$31.62	$31.62	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $79.43 / $199.53	Professional		$44.67	$79.43	$199.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $31.62 / $70.79	Professional	26	$22.39	$31.62	$70.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $42.66 / $128.82	Professional	TC	$19.05	$42.66	$128.82
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $95.50 / $104.71	Professional		$64.57	$95.50	$104.71
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $31.62 / $31.62 / $37.15	Facility	26	$31.62	$31.62	$37.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $79.43 / $141.25	Professional		$53.70	$79.43	$141.25
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $30.20 / $41.69	Professional	26	$21.38	$30.20	$41.69
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $38.90 / $69.18	Professional	TC	$19.95	$38.90	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $75.86 / $97.72	Professional		$58.88	$75.86	$97.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $35.48 / $42.66	Professional	26	$28.18	$35.48	$42.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $43.65 / $57.54	Professional	TC	$25.12	$43.65	$57.54