Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $229.09 / $354.81	Facility		$117.49	$229.09	$354.81
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $223.87 / $234.42 / $331.13	Facility	TC	$223.87	$234.42	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $38.02 / $134.90	Professional		$10.96	$38.02	$134.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $13.80 / $58.88	Professional	26	$7.94	$13.80	$58.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $79.43 / $79.43 / $79.43	Professional	50	$79.43	$79.43	$79.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $38.90 / $83.18	Professional	TC	$22.91	$38.90	$83.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $66,069.34 / $95,499.26	Facility		$102.33	$66,069.34	$95,499.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $52.48 / $52.48	Professional		$13.18	$52.48	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $45.71 / $128.82	Facility		$33.88	$45.71	$128.82
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 $38.90 / $38.90 / $47.86	Facility	TC	$38.90	$38.90	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $44.67 / $77.62	Professional		$28.18	$44.67	$77.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $12.30 / $21.38	Professional	26	$6.92	$12.30	$21.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $34.67 / $58.88	Professional	TC	$20.42	$34.67	$58.88
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $57.54 / $85.11	Facility		$51.29	$57.54	$85.11
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $57.54 / $85.11	Professional		$51.29	$57.54	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $50.12 / $72.44	Facility		$32.36	$50.12	$72.44
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 $38.90 / $38.90 / $47.86	Facility	TC	$38.90	$38.90	$47.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $72.44 / $87.10	Professional		$41.69	$72.44	$87.10
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $13.18 / $19.05	Professional	26	$8.13	$13.18	$19.05
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $37.15 / $56.23	Professional	TC	$22.91	$37.15	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $33.88 / $54.95	Professional		$30.90	$33.88	$54.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $9.12 / $15.14	Professional	26	$8.51	$9.12	$15.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $25.12 / $39.81	Professional	TC	$22.39	$25.12	$39.81