Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $3,388.44	Facility		$1,148.15	$1,148.15	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $1,258.93 / $2,754.23	Professional		$316.23	$1,258.93	$2,754.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $741.31 / $741.31 / $741.31	Professional	50	$741.31	$741.31	$741.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46,773.51 / $81,283.05 / $95,499.26	Facility		$46,773.51	$81,283.05	$95,499.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $1,659.59	Professional		$426.58	$426.58	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $426.58 / $2,398.83	Professional		$398.11	$426.58	$2,398.83
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,819.70 / $3,090.30	Facility		$467.74	$1,819.70	$3,090.30
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,819.70 / $3,090.30	Professional		$467.74	$1,819.70	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,318.26 / $3,090.30	Facility		$398.11	$1,318.26	$3,090.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $426.58 / $1,995.26	Professional		$79.43	$426.58	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,412.54 / $3,019.95	Professional		$457.09	$1,412.54	$3,019.95