Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,548.82 / $2,570.40	Facility		$776.25	$1,548.82	$2,570.40
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $645.65 / $2,454.71 / $4,570.88	Facility	50	$645.65	$2,454.71	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $288.40 / $1,778.28	Professional		$104.71	$288.40	$1,778.28
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $363.08 / $1,513.56	Professional	50	$147.91	$363.08	$1,513.56
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $36.31 / $36.31 / $37.15	Professional	53	$36.31	$36.31	$37.15
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 $173.78 / $346.74 / $389.05	Professional		$173.78	$346.74	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $190.55 / $380.19	Professional		$120.23	$190.55	$380.19
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $363.08 / $446.68	Facility		$190.55	$363.08	$446.68
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $363.08 / $446.68	Professional		$190.55	$363.08	$446.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $257.04 / $446.68	Facility		$120.23	$257.04	$446.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $213.80 / $501.19	Professional		$79.43	$213.80	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $229.09 / $426.58	Professional		$165.96	$229.09	$426.58