Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,311.31 / $10,471.29	Professional		$2,290.87	$3,311.31	$10,471.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $3,630.78	Professional		$2,691.53	$2,691.53	$3,630.78
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $4,073.80 / $4,466.84	Facility		$3,890.45	$4,073.80	$4,466.84
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,073.80 / $4,466.84	Professional		$3,890.45	$4,073.80	$4,466.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,890.45 / $4,073.80	Facility		$2,754.23	$3,890.45	$4,073.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,238.72 / $4,466.84	Professional		$79.43	$2,238.72	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,981.07 / $6,309.57	Professional		$3,162.28	$3,981.07	$6,309.57