Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $223.87 / $398.11	Facility		$151.36	$223.87	$398.11
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.62 / $31.62 / $31.62	Facility	26	$31.62	$31.62	$31.62
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $97.72 / $186.21 / $245.47	Facility	TC	$97.72	$186.21	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $33.88 / $109.65	Professional		$12.59	$33.88	$109.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $12.59 / $48.98	Professional	26	$7.08	$12.59	$48.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $15.49 / $15.49 / $15.49	Professional	50	$15.49	$15.49	$15.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $30.90 / $63.10	Professional	TC	$18.20	$30.90	$63.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $66,069.34 / $95,499.26	Facility		$89.13	$66,069.34	$95,499.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $46.77 / $46.77	Professional		$12.02	$46.77	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $42.66 / $117.49	Facility		$30.90	$42.66	$117.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $12.02 / $14.79	Facility	26	$12.02	$12.02	$14.79
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $33.88 / $33.88 / $42.66	Facility	TC	$33.88	$33.88	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $37.15 / $69.18	Professional		$23.99	$37.15	$69.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $11.22 / $20.42	Professional	26	$6.46	$11.22	$20.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $26.30 / $51.29	Professional	TC	$17.38	$26.30	$51.29
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $51.29 / $75.86	Facility		$42.66	$51.29	$75.86
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $51.29 / $75.86	Professional		$42.66	$51.29	$75.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $43.65 / $63.10	Facility		$28.84	$43.65	$63.10
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $12.02 / $14.79	Facility	26	$12.02	$12.02	$14.79
Providence Facility/Professional Facility Modifier TC Low / Median / High Price $33.88 / $33.88 / $42.66	Facility	TC	$33.88	$33.88	$42.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $64.57 / $77.62	Professional		$37.15	$64.57	$77.62
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $12.02 / $17.78	Professional	26	$7.41	$12.02	$17.78
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $30.90 / $50.12	Professional	TC	$19.05	$30.90	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $29.51 / $48.98	Professional		$25.70	$29.51	$48.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $8.71 / $14.79	Professional	26	$7.76	$8.71	$14.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $20.42 / $34.67	Professional	TC	$17.78	$20.42	$34.67