Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $51.29 / $95.50	Professional		$28.84	$51.29	$95.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $21.88 / $37.15	Professional	26	$19.05	$21.88	$37.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.55 / $28.84 / $57.54	Professional	TC	$9.55	$28.84	$57.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $83.18	Professional		$32.36	$32.36	$83.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $32.36 / $38.02	Facility	26	$32.36	$32.36	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $69.18 / $186.21	Professional		$33.11	$69.18	$186.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $32.36 / $72.44	Professional	26	$21.88	$32.36	$72.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.47 / $38.90 / $114.82	Professional	TC	$10.47	$38.90	$114.82
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $91.20 / $97.72	Professional		$52.48	$91.20	$97.72
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $32.36 / $38.02	Facility	26	$32.36	$32.36	$38.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $75.86 / $131.83	Professional		$50.12	$75.86	$131.83
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $30.20 / $39.81	Professional	26	$21.88	$30.20	$39.81
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $36.31 / $61.66	Professional	TC	$15.85	$36.31	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $74.13 / $93.33	Professional		$48.98	$74.13	$93.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $36.31 / $42.66	Professional	26	$28.84	$36.31	$42.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $39.81 / $52.48	Professional	TC	$15.14	$39.81	$52.48