Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $263.03 / $489.78	Professional		$199.53	$263.03	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $346.74	Professional		$295.12	$295.12	$346.74
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $331.13 / $407.38	Facility		$316.23	$331.13	$407.38
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $331.13 / $407.38	Professional		$316.23	$331.13	$407.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $295.12 / $331.13	Facility		$169.82	$295.12	$331.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $199.53 / $398.11	Professional		$79.43	$199.53	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $346.74 / $478.63	Professional		$288.40	$346.74	$478.63