Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $5,623.41	Professional		$1,698.24	$2,187.76	$5,623.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,570.40	Professional		$1,949.84	$1,949.84	$2,570.40
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,818.38 / $3,162.28	Facility		$2,754.23	$2,818.38	$3,162.28
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,818.38 / $3,162.28	Professional		$2,754.23	$2,818.38	$3,162.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,754.23 / $3,090.30	Facility		$1,949.84	$2,754.23	$3,090.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,584.89 / $3,162.28	Professional		$79.43	$1,584.89	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,818.38 / $4,466.84	Professional		$2,454.71	$2,818.38	$4,466.84