Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $263.03 / $398.11	Facility		$44.67	$263.03	$398.11
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $138.04 / $389.05 / $389.05	Facility	TC	$138.04	$389.05	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.02 / $177.83	Professional		$25.12	$38.02	$177.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $14.13 / $54.95	Professional	26	$7.08	$14.13	$54.95
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $7.94 / $7.94 / $36.31	Professional	50	$7.94	$7.94	$36.31
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $26.30 / $41.69 / $338.84	Professional	52	$26.30	$41.69	$338.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $27.54 / $85.11	Professional	TC	$18.20	$27.54	$85.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $66,069.34 / $95,499.26	Facility		$97.72	$66,069.34	$95,499.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $50.12 / $50.12	Professional		$12.59	$50.12	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $45.71 / $125.89	Facility		$33.11	$45.71	$125.89
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $12.59 / $15.49	Facility	26	$12.59	$12.59	$15.49
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $37.15 / $37.15 / $45.71	Facility	TC	$37.15	$37.15	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $38.90 / $75.86	Professional		$23.99	$38.90	$75.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $11.22 / $20.42	Professional	26	$6.76	$11.22	$20.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $28.18 / $56.23	Professional	TC	$17.38	$28.18	$56.23
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $54.95 / $83.18	Facility		$43.65	$54.95	$83.18
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $54.95 / $83.18	Professional		$43.65	$54.95	$83.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $44.67 / $66.07	Facility		$30.20	$44.67	$66.07
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $12.59 / $15.49	Facility	26	$12.59	$12.59	$15.49
Providence Facility/Professional Facility Modifier TC Low / Median / High Price $37.15 / $37.15 / $45.71	Facility	TC	$37.15	$37.15	$45.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $70.79 / $83.18	Professional		$38.90	$70.79	$83.18
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $12.59 / $18.20	Professional	26	$7.59	$12.59	$18.20
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $33.11 / $53.70	Professional	TC	$18.62	$33.11	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $30.90 / $51.29	Professional		$26.30	$30.90	$51.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $8.71 / $14.79	Professional	26	$8.13	$8.71	$14.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $21.88 / $37.15	Professional	TC	$18.62	$21.88	$37.15