Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $128.82 / $691.83	Facility		$120.23	$128.82	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $89.13 / $213.80	Professional		$51.29	$89.13	$213.80
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
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $114.82 / $134.90	Professional		$89.13	$114.82	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $91.20 / $138.04	Professional		$61.66	$91.20	$138.04
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $134.90 / $162.18	Facility		$93.33	$134.90	$162.18
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $134.90 / $162.18	Professional		$93.33	$134.90	$162.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $81.28 / $134.90	Facility		$52.48	$81.28	$134.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $89.13 / $138.04	Professional		$74.13	$89.13	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $147.91	Professional		$85.11	$109.65	$147.91