Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $213.80 / $213.80	Facility		$165.96	$213.80	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $66.07 / $239.88	Professional		$38.90	$66.07	$239.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $72.44 / $72.44 / $75.86	Professional	50	$72.44	$72.44	$75.86
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 $60.26 / $77.62 / $91.20	Professional		$60.26	$77.62	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $60.26 / $91.20	Professional		$42.66	$60.26	$91.20
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $91.20 / $104.71	Facility		$66.07	$91.20	$104.71
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $91.20 / $104.71	Professional		$66.07	$91.20	$104.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $64.57 / $104.71	Facility		$42.66	$64.57	$104.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $79.43 / $114.82	Professional		$52.48	$79.43	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $75.86 / $102.33	Professional		$56.23	$75.86	$102.33