Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $3,019.95	Professional		$1,202.26	$1,584.89	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility		$1,905.46	$1,905.46	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $2,041.74	Professional		$1,318.26	$1,905.46	$2,041.74
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,089.30 / $2,290.87	Facility		$2,041.74	$2,089.30	$2,290.87
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,089.30 / $2,290.87	Professional		$2,041.74	$2,089.30	$2,290.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,737.80 / $2,290.87	Facility		$1,071.52	$1,737.80	$2,290.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,230.27 / $2,454.71	Professional		$79.43	$1,230.27	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,041.74 / $3,019.95	Professional		$1,737.80	$2,041.74	$3,019.95