Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $141.25 / $151.36	Professional		$125.89	$141.25	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $223.87 / $446.68	Facility		$147.91	$223.87	$446.68
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $446.68	Professional		$147.91	$223.87	$446.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $288.40 / $436.52	Facility		$131.83	$288.40	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $134.90 / $251.19	Professional		$79.43	$134.90	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $69.18 / $147.91	Professional		$63.10	$69.18	$147.91