Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $186.21 / $194.98	Professional		$151.36	$186.21	$194.98
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 $199.53 / $257.04 / $602.56	Facility		$199.53	$257.04	$602.56
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $602.56	Professional		$199.53	$257.04	$602.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $288.40 / $436.52	Facility		$177.83	$288.40	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $181.97 / $288.40	Professional		$79.43	$181.97	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $199.53	Professional		$83.18	$83.18	$199.53