Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $2,754.23	Professional		$724.44	$977.24	$2,754.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46,773.51 / $81,283.05 / $95,499.26	Facility		$46,773.51	$81,283.05	$95,499.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,202.26 / $1,412.54	Professional		$758.58	$1,202.26	$1,412.54
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,445.44 / $1,621.81	Facility		$1,288.25	$1,445.44	$1,621.81
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,445.44 / $1,621.81	Professional		$1,288.25	$1,445.44	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $933.25 / $1,445.44	Facility		$676.08	$933.25	$1,445.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,174.90 / $1,698.24	Professional		$79.43	$1,174.90	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $1,584.89	Professional		$1,122.02	$1,318.26	$1,584.89