Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $75.86 / $223.87	Professional		$53.70	$75.86	$223.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $19.05 / $45.71	Professional	26	$15.14	$19.05	$45.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $47.86 / $81.28	Professional	TC	$36.31	$47.86	$81.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $97.72	Professional		$28.18	$28.18	$97.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $28.18 / $33.88	Facility	26	$28.18	$28.18	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $70.79 / $131.83	Professional		$58.88	$70.79	$131.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $22.39 / $39.81	Professional	26	$18.62	$22.39	$39.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $48.98 / $93.33	Professional	TC	$39.81	$48.98	$93.33
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $104.71 / $114.82	Professional		$93.33	$104.71	$114.82
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $28.18 / $33.88	Facility	26	$28.18	$28.18	$33.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $131.83 / $173.78	Professional		$63.10	$131.83	$173.78
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $25.70 / $39.81	Professional	26	$18.62	$25.70	$39.81
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $61.66 / $93.33	Professional	TC	$43.65	$61.66	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $114.82	Professional		$64.57	$97.72	$114.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $30.90 / $35.48	Professional	26	$20.89	$30.90	$35.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $67.61 / $81.28	Professional	TC	$44.67	$67.61	$81.28