Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $630.96 / $1,698.24	Facility		$245.47	$630.96	$1,698.24
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility	50	$1,584.89	$1,584.89	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $223.87 / $562.34	Professional		$66.07	$223.87	$562.34
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $602.56 / $630.96 / $977.24	Professional	50	$602.56	$630.96	$977.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,565.42 / $83,176.38 / $95,499.26	Facility		$64,565.42	$83,176.38	$95,499.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $363.08	Professional		$104.71	$104.71	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $218.78 / $416.87	Facility		$104.71	$218.78	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $186.21 / $537.03	Professional		$70.79	$186.21	$537.03
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $257.04 / $407.38	Facility		$114.82	$257.04	$407.38
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $257.04 / $407.38	Professional		$114.82	$257.04	$407.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $213.80 / $478.63	Facility		$74.13	$213.80	$478.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $194.98 / $645.65	Professional		$85.11	$194.98	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $186.21 / $389.05	Professional		$102.33	$186.21	$389.05