Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,344.23 / $2,454.71	Professional		$1,905.46	$2,344.23	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,235.94 / $7,585.78	Facility		$2,511.89	$3,235.94	$7,585.78
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,235.94 / $7,585.78	Professional		$2,511.89	$3,235.94	$7,585.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,630.78 / $5,495.41	Facility		$2,238.72	$3,630.78	$5,495.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,238.72 / $3,630.78	Professional		$79.43	$2,238.72	$3,630.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $2,511.89	Professional		$1,047.13	$1,047.13	$2,511.89