Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $57.54 / $67.61	Professional		$12.88	$57.54	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $138.04	Facility		$117.49	$117.49	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $117.49	Professional		$104.71	$104.71	$117.49
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $128.82 / $354.81	Facility		$125.89	$128.82	$354.81
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $128.82 / $354.81	Professional		$125.89	$128.82	$354.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $60.26 / $117.49	Facility		$47.86	$60.26	$117.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $117.49 / $125.89	Professional		$79.43	$117.49	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.11 / $79.43	Professional		$28.18	$33.11	$79.43