Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $309.03 / $794.33	Professional		$234.42	$309.03	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $363.08	Professional		$302.00	$302.00	$363.08
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $436.52	Facility		$389.05	$389.05	$436.52
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $436.52	Professional		$389.05	$389.05	$436.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $363.08 / $398.11	Facility		$275.42	$363.08	$398.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $223.87 / $446.68	Professional		$79.43	$223.87	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $398.11 / $630.96	Professional		$354.81	$398.11	$630.96