Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $87.10 / $251.19	Professional		$39.81	$87.10	$251.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $53.70 / $112.20	Professional	26	$34.67	$53.70	$112.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $40.74 / $165.96	Professional	TC	$26.92	$40.74	$165.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $75,857.76 / $95,499.26	Facility		$114.82	$75,857.76	$95,499.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $57.54 / $102.33	Professional		$51.29	$57.54	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $57.54 / $57.54	Facility	26	$57.54	$57.54	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $194.98 / $316.23	Professional		$102.33	$194.98	$316.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $75.86 / $141.25	Professional	26	$57.54	$75.86	$141.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $120.23 / $190.55	Professional	TC	$44.67	$120.23	$190.55
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $112.20 / $338.84	Facility		$109.65	$112.20	$338.84
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $112.20 / $338.84	Professional		$109.65	$112.20	$338.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $104.71 / $380.19	Facility		$60.26	$104.71	$380.19
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $57.54 / $57.54	Facility	26	$57.54	$57.54	$57.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $162.18 / $208.93	Professional		$91.20	$162.18	$208.93
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $58.88 / $128.82	Professional	26	$38.02	$58.88	$128.82
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $44.67 / $186.21	Professional	TC	$28.18	$44.67	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.23 / $331.13	Professional		$91.20	$120.23	$331.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $67.61 / $131.83	Professional	26	$52.48	$67.61	$131.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $52.48 / $199.53	Professional	TC	$39.81	$52.48	$199.53