Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $141.25	Professional		$91.20	$114.82	$141.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $91,201.08	Facility		$162.18	$162.18	$91,201.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $181.97 / $371.54	Facility		$123.03	$181.97	$371.54
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $181.97 / $371.54	Professional		$123.03	$181.97	$371.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $177.83 / $269.15	Facility		$109.65	$177.83	$269.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $109.65 / $177.83	Professional		$79.43	$109.65	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $123.03	Professional		$51.29	$51.29	$123.03