Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $295.12	Professional		$112.20	$158.49	$295.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $251.19	Professional		$208.93	$208.93	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $208.93 / $263.03	Professional		$151.36	$208.93	$263.03
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $269.15 / $295.12	Facility		$223.87	$269.15	$295.12
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $269.15 / $295.12	Professional		$223.87	$269.15	$295.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $199.53 / $275.42	Facility		$128.82	$199.53	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $177.83 / $309.03	Professional		$79.43	$177.83	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $245.47 / $371.54	Professional		$204.17	$245.47	$371.54