Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $549.54 / $1,096.48	Facility		$263.03	$549.54	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $72.44 / $263.03	Professional		$41.69	$72.44	$263.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $72.44 / $104.71 / $380.19	Professional	50	$72.44	$104.71	$380.19
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 $61.66 / $77.62 / $91.20	Professional		$61.66	$77.62	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $61.66 / $89.13	Professional		$42.66	$61.66	$89.13
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $89.13 / $104.71	Facility		$66.07	$89.13	$104.71
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $89.13 / $104.71	Professional		$66.07	$89.13	$104.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $63.10 / $104.71	Facility		$40.74	$63.10	$104.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $79.43 / $114.82	Professional		$51.29	$79.43	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $74.13 / $100.00	Professional		$56.23	$74.13	$100.00