Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $89.13 / $169.82	Professional		$58.88	$89.13	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $144.54	Professional		$91.20	$91.20	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $144.54	Professional		$67.61	$97.72	$144.54
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $144.54 / $169.82	Facility		$97.72	$144.54	$169.82
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $144.54 / $169.82	Professional		$97.72	$144.54	$169.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $93.33 / $154.88	Facility		$60.26	$93.33	$154.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $91.20 / $177.83	Professional		$67.61	$91.20	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $208.93	Professional		$89.13	$128.82	$208.93