Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $275.42 / $389.05	Facility		$208.93	$275.42	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $39.81 / $117.49	Professional		$18.20	$39.81	$117.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $16.22 / $60.26	Professional	26	$9.33	$16.22	$60.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $29.51 / $69.18	Professional	TC	$20.89	$29.51	$69.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $66,069.34 / $95,499.26	Facility		$107.15	$66,069.34	$95,499.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $57.54 / $57.54	Professional		$16.22	$57.54	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $50.12 / $141.25	Facility		$37.15	$50.12	$141.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.22 / $16.22 / $19.95	Facility	26	$16.22	$16.22	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $45.71 / $87.10	Professional		$28.18	$45.71	$87.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $15.14 / $27.54	Professional	26	$8.91	$15.14	$27.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $30.90 / $63.10	Professional	TC	$19.05	$30.90	$63.10
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $63.10 / $95.50	Facility		$54.95	$63.10	$95.50
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $63.10 / $95.50	Professional		$54.95	$63.10	$95.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $53.70 / $79.43	Facility		$35.48	$53.70	$79.43
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $16.22 / $16.22 / $19.95	Facility	26	$16.22	$16.22	$19.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $81.28 / $97.72	Professional		$45.71	$81.28	$97.72
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $16.22 / $24.55	Professional	26	$10.23	$16.22	$24.55
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $38.02 / $60.26	Professional	TC	$21.38	$38.02	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $36.31 / $61.66	Professional		$32.36	$36.31	$61.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $11.48 / $19.50	Professional	26	$10.96	$11.48	$19.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $24.55 / $40.74	Professional	TC	$20.42	$24.55	$40.74