Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $524.81 / $776.25	Facility		$77.62	$524.81	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $114.82 / $269.15	Professional		$53.70	$114.82	$269.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $53.70 / $147.91	Professional	26	$27.54	$53.70	$147.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $38.90 / $169.82	Professional	TC	$20.89	$38.90	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $66,069.34 / $95,499.26	Facility		$117.49	$66,069.34	$95,499.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $91.20 / $91.20	Professional		$46.77	$91.20	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $53.70 / $147.91	Facility		$38.90	$53.70	$147.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $46.77 / $57.54	Facility	26	$46.77	$46.77	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $100.00 / $177.83	Professional		$74.13	$100.00	$177.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $46.77 / $70.79	Professional	26	$32.36	$46.77	$70.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $46.77 / $147.91	Professional	TC	$33.11	$46.77	$147.91
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $100.00 / $114.82	Facility		$95.50	$100.00	$114.82
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $100.00 / $114.82	Professional		$95.50	$100.00	$114.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $128.82 / $295.12	Facility		$57.54	$128.82	$295.12
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $46.77 / $57.54	Facility	26	$46.77	$46.77	$57.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $151.36	Professional		$79.43	$104.71	$151.36
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $46.77 / $66.07	Professional	26	$32.36	$46.77	$66.07
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $44.67 / $120.23	Professional	TC	$33.11	$44.67	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $81.28 / $186.21	Professional		$58.88	$81.28	$186.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $33.88 / $57.54	Professional	26	$32.36	$33.88	$57.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $36.31 / $151.36	Professional	TC	$25.70	$36.31	$151.36