Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,348.96 / $4,570.88	Facility		$309.03	$1,348.96	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $263.03 / $831.76	Professional		$97.72	$263.03	$831.76
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $147.91 / $147.91 / $147.91	Professional	52	$147.91	$147.91	$147.91
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $19.50 / $26.30 / $38.90	Professional	53	$19.50	$26.30	$38.90
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 $125.89 / $380.19 / $380.19	Professional		$125.89	$380.19	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $208.93 / $380.19	Professional		$112.20	$208.93	$380.19
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $275.42 / $426.58	Facility		$138.04	$275.42	$426.58
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $275.42 / $426.58	Professional		$138.04	$275.42	$426.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $218.78 / $416.87	Facility		$89.13	$218.78	$416.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $138.04 / $426.58	Professional		$79.43	$138.04	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $269.15 / $489.78	Professional		$134.90	$269.15	$489.78