Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $398.11 / $1,071.52	Professional		$263.03	$398.11	$1,071.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $81.28 / $81.28 / $812.83	Professional	50	$81.28	$81.28	$812.83
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $398.11 / $398.11 / $501.19	Professional	54	$398.11	$398.11	$501.19
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 $537.03 / $537.03 / $562.34	Professional		$537.03	$537.03	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $457.09 / $537.03	Professional		$257.04	$457.09	$537.03
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $588.84 / $645.65	Facility		$501.19	$588.84	$645.65
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $588.84 / $645.65	Professional		$501.19	$588.84	$645.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $416.87 / $645.65	Facility		$338.84	$416.87	$645.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $478.63 / $724.44	Professional		$79.43	$478.63	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $512.86 / $630.96	Professional		$363.08	$512.86	$630.96