Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,691.53 / $5,888.44	Professional		$1,905.46	$2,691.53	$5,888.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Facility		$3,388.44	$3,388.44	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,388.44 / $3,630.78	Professional		$2,041.74	$3,388.44	$3,630.78
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,715.35 / $4,073.80	Facility		$3,548.13	$3,715.35	$4,073.80
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,715.35 / $4,073.80	Professional		$3,548.13	$3,715.35	$4,073.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,090.30 / $3,630.78	Facility		$1,905.46	$3,090.30	$3,630.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,041.74 / $4,365.16	Professional		$79.43	$2,041.74	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,548.13 / $5,248.07	Professional		$2,818.38	$3,548.13	$5,248.07