Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $75.86 / $489.78	Facility		$47.86	$75.86	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $75.86 / $218.78	Professional		$51.29	$75.86	$218.78
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 $87.10 / $91.20 / $107.15	Professional		$87.10	$91.20	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $87.10 / $109.65	Professional		$53.70	$87.10	$109.65
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $109.65 / $134.90	Facility		$93.33	$109.65	$134.90
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $109.65 / $134.90	Professional		$93.33	$109.65	$134.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $66.07 / $125.89	Facility		$47.86	$66.07	$125.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $87.10 / $125.89	Professional		$64.57	$87.10	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $97.72 / $123.03	Professional		$83.18	$97.72	$123.03