Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $77.62 / $144.54	Facility		$58.88	$77.62	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $39.81 / $48.98	Professional		$33.11	$39.81	$48.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $91,201.08	Facility		$57.54	$57.54	$91,201.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $56.23 / $131.83	Facility		$43.65	$56.23	$131.83
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $56.23 / $131.83	Professional		$43.65	$56.23	$131.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $63.10 / $95.50	Facility		$38.90	$63.10	$95.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $69.18 / $85.11	Professional		$38.90	$69.18	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $43.65	Professional		$18.20	$18.20	$43.65