Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $223.87 / $512.86	Facility		$87.10	$223.87	$512.86
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $141.25 / $269.15 / $407.38	Facility	TC	$141.25	$269.15	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $45.71 / $151.36	Professional		$25.12	$45.71	$151.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $10.72 / $45.71	Professional	26	$8.13	$10.72	$45.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $28.84 / $74.13	Professional	TC	$16.98	$28.84	$74.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $75,857.76 / $95,499.26	Facility		$169.82	$75,857.76	$95,499.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $47.86 / $47.86	Professional		$13.80	$47.86	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $41.69 / $114.82	Facility		$30.20	$41.69	$114.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.80 / $13.80 / $16.98	Facility	26	$13.80	$13.80	$16.98
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 $21.88 / $37.15 / $72.44	Professional		$21.88	$37.15	$72.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $11.48 / $22.39	Professional	26	$7.24	$11.48	$22.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $25.70 / $51.29	Professional	TC	$15.49	$25.70	$51.29
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $52.48 / $79.43	Facility		$43.65	$52.48	$79.43
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $52.48 / $79.43	Professional		$43.65	$52.48	$79.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $41.69 / $66.07	Facility		$28.84	$41.69	$66.07
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $13.80 / $13.80 / $16.98	Facility	26	$13.80	$13.80	$16.98
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 $36.31 / $67.61 / $81.28	Professional		$36.31	$67.61	$81.28
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $13.80 / $19.95	Professional	26	$8.32	$13.80	$19.95
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $30.90 / $48.98	Professional	TC	$18.62	$30.90	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $29.51 / $50.12	Professional		$27.54	$29.51	$50.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $9.55 / $15.85	Professional	26	$9.33	$9.55	$15.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $20.42 / $33.88	Professional	TC	$18.20	$20.42	$33.88