Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,778.28 / $2,884.03	Facility		$537.03	$1,778.28	$2,884.03
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $537.03 / $537.03 / $4,073.80	Facility	50	$537.03	$537.03	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $199.53 / $1,698.24	Professional		$102.33	$199.53	$1,698.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $416.87 / $5,754.40	Professional	50	$147.91	$416.87	$5,754.40
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 $165.96 / $165.96 / $302.00	Professional		$165.96	$165.96	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $169.82 / $302.00	Professional		$134.90	$169.82	$302.00
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $316.23 / $346.74	Facility		$177.83	$316.23	$346.74
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $316.23 / $346.74	Professional		$177.83	$316.23	$346.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $204.17 / $371.54	Facility		$109.65	$204.17	$371.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $199.53 / $389.05	Professional		$79.43	$199.53	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $218.78 / $338.84	Professional		$158.49	$218.78	$338.84