Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $11,220.18 / $29,512.09	Facility		$5,888.44	$11,220.18	$29,512.09
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $14,791.08 / $14,791.08 / $14,791.08	Facility	22	$14,791.08	$14,791.08	$14,791.08
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,511.38 / $8,511.38 / $52,480.75	Facility	50	$8,511.38	$8,511.38	$52,480.75
Aetna Facility/Professional Facility Modifier AS Low / Median / High Price $776.25 / $776.25 / $776.25	Facility	AS	$776.25	$776.25	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,290.87 / $29,512.09	Professional		$1,258.93	$2,290.87	$29,512.09
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $169.82 / $363.08 / $1,096.48	Professional	AS	$169.82	$363.08	$1,096.48
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 $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility		$2,041.74	$2,041.74	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,862.09 / $2,290.87	Professional		$1,288.25	$1,862.09	$2,290.87
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,238.72 / $2,818.38	Facility		$2,187.76	$2,238.72	$2,818.38
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,238.72 / $2,818.38	Professional		$2,187.76	$2,238.72	$2,818.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,137.96 / $3,311.31	Facility		$1,288.25	$2,137.96	$3,311.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,862.09 / $2,630.27	Professional		$79.43	$1,862.09	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,290.87 / $2,570.40	Professional		$1,621.81	$2,290.87	$2,570.40