Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.18 / $31.62	Professional		$10.72	$13.18	$31.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $8.71 / $26.30	Professional	26	$6.03	$8.71	$26.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $11.48 / $11.48 / $12.30	Professional	50	$11.48	$11.48	$12.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $4.47 / $8.32	Professional	TC	$3.02	$4.47	$8.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $66,069.34 / $95,499.26	Facility		$15.14	$66,069.34	$95,499.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $17.78 / $17.78	Professional		$12.02	$17.78	$17.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $8.32 / $23.44	Facility		$6.17	$8.32	$23.44
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 Professional Modifier Low / Median / High Price $12.30 / $17.78 / $27.54	Professional		$12.30	$17.78	$27.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $12.02 / $18.62	Professional	26	$9.12	$12.02	$18.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.82 / $5.75 / $10.23	Professional	TC	$2.82	$5.75	$10.23
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.95 / $25.70	Facility		$19.50	$19.95	$25.70
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.95 / $25.70	Professional		$19.50	$19.95	$25.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $19.05 / $27.54	Facility		$11.22	$19.05	$27.54
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 Professional Modifier Low / Median / High Price $15.49 / $20.89 / $28.18	Professional		$15.49	$20.89	$28.18
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $12.02 / $17.78	Professional	26	$9.12	$12.02	$17.78
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $3.55 / $5.75 / $8.71	Professional	TC	$3.55	$5.75	$8.71
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.79 / $22.91	Professional		$12.30	$14.79	$22.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $9.55 / $15.14	Professional	26	$8.32	$9.55	$15.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.98 / $4.79 / $7.94	Professional	TC	$3.98	$4.79	$7.94