Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $239.88 / $295.12	Facility		$95.50	$239.88	$295.12
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $144.54 / $245.47 / $295.12	Facility	TC	$144.54	$245.47	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $35.48 / $125.89	Professional		$9.77	$35.48	$125.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $12.30 / $51.29	Professional	26	$7.24	$12.30	$51.29
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $77.62 / $77.62 / $109.65	Professional	50	$77.62	$77.62	$109.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $31.62 / $66.07	Professional	TC	$19.05	$31.62	$66.07
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 $12.02 / $12.02 / $50.12	Professional		$12.02	$12.02	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $44.67 / $125.89	Facility		$33.11	$44.67	$125.89
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 $38.02 / $38.02 / $46.77	Facility	TC	$38.02	$38.02	$46.77
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 $6.92 / $11.75 / $19.95	Professional	26	$6.92	$11.75	$19.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $28.84 / $56.23	Professional	TC	$16.60	$28.84	$56.23
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $54.95 / $83.18	Facility		$47.86	$54.95	$83.18
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $54.95 / $83.18	Professional		$47.86	$54.95	$83.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $45.71 / $67.61	Facility		$30.90	$45.71	$67.61
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 $38.02 / $38.02 / $46.77	Facility	TC	$38.02	$38.02	$46.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $70.79 / $85.11	Professional		$39.81	$70.79	$85.11
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $12.02 / $17.78	Professional	26	$7.76	$12.02	$17.78
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $34.67 / $54.95	Professional	TC	$19.05	$34.67	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $30.90 / $52.48	Professional		$26.92	$30.90	$52.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $8.51 / $14.45	Professional	26	$8.32	$8.51	$14.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $22.91 / $38.02	Professional	TC	$18.20	$22.91	$38.02