Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $48.98 / $75.86	Professional		$18.20	$48.98	$75.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $42.66 / $70.79	Professional	26	$15.49	$42.66	$70.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $77.62	Professional		$72.44	$72.44	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $40.74 / $117.49	Facility		$30.90	$40.74	$117.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $72.44 / $72.44	Facility	26	$72.44	$72.44	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $72.44 / $72.44	Professional	26	$72.44	$72.44	$72.44
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $83.18 / $87.10	Facility		$63.10	$83.18	$87.10
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $87.10	Professional		$63.10	$83.18	$87.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $40.74 / $104.71	Facility		$17.78	$40.74	$104.71
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $72.44 / $72.44	Facility	26	$72.44	$72.44	$72.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $75.86 / $95.50	Professional		$45.71	$75.86	$95.50
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $64.57 / $87.10	Professional	26	$24.55	$64.57	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.90 / $85.11	Professional		$19.95	$30.90	$85.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $30.90 / $79.43	Professional	26	$19.95	$30.90	$79.43