Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $380.19 / $794.33	Professional		$245.47	$380.19	$794.33
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $223.87 / $407.38 / $407.38	Professional	54	$223.87	$407.38	$407.38
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 $478.63 / $478.63 / $501.19	Professional		$478.63	$478.63	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $407.38 / $489.78	Professional		$229.09	$407.38	$489.78
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $524.81 / $575.44	Facility		$467.74	$524.81	$575.44
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $524.81 / $575.44	Professional		$467.74	$524.81	$575.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $371.54 / $575.44	Facility		$239.88	$371.54	$575.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $426.58 / $645.65	Professional		$79.43	$426.58	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $457.09 / $562.34	Professional		$354.81	$457.09	$562.34