Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $562.34 / $1,023.29	Facility		$309.03	$562.34	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $117.49 / $457.09	Professional		$74.13	$117.49	$457.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $31.62 / $91.20	Professional	26	$23.99	$31.62	$91.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $109.65 / $218.78	Professional	TC	$50.12	$109.65	$218.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $66,069.34 / $95,499.26	Facility		$371.54	$66,069.34	$95,499.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $181.97	Professional		$41.69	$41.69	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $165.96 / $467.74	Facility		$123.03	$165.96	$467.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $41.69 / $51.29	Facility	26	$41.69	$41.69	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $162.18 / $181.97	Professional		$72.44	$162.18	$181.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $41.69 / $54.95	Professional	26	$25.70	$41.69	$54.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $107.15 / $141.25	Professional	TC	$46.77	$107.15	$141.25
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $199.53 / $213.80	Facility		$131.83	$199.53	$213.80
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $213.80	Professional		$131.83	$199.53	$213.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $141.25 / $239.88	Facility		$100.00	$141.25	$239.88
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $41.69 / $51.29	Facility	26	$41.69	$41.69	$51.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $263.03	Professional		$112.20	$162.18	$263.03
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $41.69 / $60.26	Professional	26	$25.70	$41.69	$60.26
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $123.03 / $199.53	Professional	TC	$87.10	$123.03	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $109.65 / $194.98	Professional		$70.79	$109.65	$194.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $28.18 / $50.12	Professional	26	$27.54	$28.18	$50.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $81.28 / $144.54	Professional	TC	$43.65	$81.28	$144.54