Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $239.88 / $645.65	Facility		$144.54	$239.88	$645.65
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.74 / $9.33 / $28.18	Facility	26	$1.74	$9.33	$28.18
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $93.33 / $162.18 / $275.42	Facility	TC	$93.33	$162.18	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $28.84 / $109.65	Professional		$18.62	$28.84	$109.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $9.33 / $44.67	Professional	26	$7.94	$9.33	$44.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.72 / $19.05 / $39.81	Professional	TC	$10.72	$19.05	$39.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $75,857.76 / $95,499.26	Facility		$100.00	$75,857.76	$95,499.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $40.74 / $40.74	Professional		$13.18	$40.74	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $33.88 / $95.50	Facility		$25.12	$33.88	$95.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.18 / $13.18 / $16.22	Facility	26	$13.18	$13.18	$16.22
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $27.54 / $27.54 / $33.88	Facility	TC	$27.54	$27.54	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $28.18 / $60.26	Professional		$17.78	$28.18	$60.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $12.30 / $22.39	Professional	26	$7.24	$12.30	$22.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $15.14 / $40.74	Professional	TC	$10.00	$15.14	$40.74
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $44.67 / $67.61	Facility		$32.36	$44.67	$67.61
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $44.67 / $67.61	Professional		$32.36	$44.67	$67.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $34.67 / $57.54	Facility		$23.99	$34.67	$57.54
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $13.18 / $13.18 / $16.22	Facility	26	$13.18	$13.18	$16.22
Providence Facility/Professional Facility Modifier TC Low / Median / High Price $27.54 / $27.54 / $33.88	Facility	TC	$27.54	$27.54	$33.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $57.54 / $69.18	Professional		$26.92	$57.54	$69.18
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $13.18 / $19.95	Professional	26	$8.32	$13.18	$19.95
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $23.44 / $39.81	Professional	TC	$10.96	$23.44	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.70 / $43.65	Professional		$19.95	$25.70	$43.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $9.55 / $15.85	Professional	26	$9.33	$9.55	$15.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.72 / $16.60 / $27.54	Professional	TC	$10.72	$16.60	$27.54