Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,884.03 / $4,897.79	Facility		$870.96	$2,884.03	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $354.81 / $1,412.54	Professional		$177.83	$354.81	$1,412.54
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $64.57 / $144.54 / $288.40	Professional	53	$64.57	$144.54	$288.40
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 $288.40 / $537.03 / $537.03	Professional		$288.40	$537.03	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $144.54 / $144.54 / $144.54	Facility	53	$144.54	$144.54	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $389.05 / $891.25	Professional		$204.17	$389.05	$891.25
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $107.15 / $144.54 / $269.15	Professional	53	$107.15	$144.54	$269.15
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $537.03 / $676.08	Facility		$309.03	$537.03	$676.08
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $537.03 / $676.08	Professional		$309.03	$537.03	$676.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $436.52 / $776.25	Facility		$218.78	$436.52	$776.25
Providence Facility/Professional Facility Modifier 53 Low / Median / High Price $144.54 / $144.54 / $144.54	Facility	53	$144.54	$144.54	$144.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $457.09 / $851.14	Professional		$85.11	$457.09	$851.14
Providence Facility/Professional Professional Modifier 53 Low / Median / High Price $91.20 / $144.54 / $239.88	Professional	53	$91.20	$144.54	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $426.58 / $645.65	Professional		$275.42	$426.58	$645.65