Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $67.61 / $169.82	Professional		$52.48	$67.61	$169.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $10.47 / $33.88	Professional	26	$7.76	$10.47	$33.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $53.70 / $120.23	Professional	TC	$42.66	$53.70	$120.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $89.13 / $89.13	Professional		$13.80	$89.13	$89.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.80 / $13.80 / $16.22	Facility	26	$13.80	$13.80	$16.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $75.86 / $204.17	Professional		$56.23	$75.86	$204.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.30 / $30.20	Professional	26	$8.91	$12.30	$30.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $64.57 / $173.78	Professional	TC	$47.86	$64.57	$173.78
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $97.72 / $104.71	Professional		$83.18	$97.72	$104.71
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $13.80 / $13.80 / $16.22	Facility	26	$13.80	$13.80	$16.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $93.33 / $144.54	Professional		$60.26	$93.33	$144.54
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $12.59 / $19.05	Professional	26	$8.71	$12.59	$19.05
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $64.57 / $102.33	Professional	TC	$48.98	$64.57	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $91.20 / $107.15	Professional		$66.07	$91.20	$107.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $14.45 / $17.38	Professional	26	$11.22	$14.45	$17.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $75.86 / $91.20	Professional	TC	$54.95	$75.86	$91.20