Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $588.84	Professional		$158.49	$213.80	$588.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $263.03	Professional		$208.93	$245.47	$263.03
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $269.15 / $288.40	Facility		$257.04	$269.15	$288.40
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $269.15 / $288.40	Professional		$257.04	$269.15	$288.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $245.47 / $275.42	Facility		$190.55	$245.47	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $165.96 / $309.03	Professional		$79.43	$165.96	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $281.84 / $426.58	Professional		$245.47	$281.84	$426.58