Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $89.13 / $229.09	Professional		$33.11	$89.13	$229.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $144.54	Professional		$54.95	$54.95	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $112.20 / $218.78	Facility		$54.95	$112.20	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $58.88 / $162.18	Professional		$43.65	$58.88	$162.18
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $131.83 / $204.17	Facility		$58.88	$131.83	$204.17
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $131.83 / $204.17	Professional		$58.88	$131.83	$204.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $91.20 / $218.78	Facility		$33.11	$91.20	$218.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $79.43 / $199.53	Professional		$47.86	$79.43	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $89.13 / $194.98	Professional		$53.70	$89.13	$194.98