Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $1,023.29	Facility		$602.56	$602.56	$1,023.29
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,000.00 / $1,000.00 / $1,122.02	Facility	50	$1,000.00	$1,000.00	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $89.13 / $269.15	Professional		$48.98	$89.13	$269.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $74.13 / $138.04 / $398.11	Professional	50	$74.13	$138.04	$398.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,565.42 / $83,176.38 / $95,499.26	Facility		$64,565.42	$83,176.38	$95,499.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $89.13 / $144.54	Professional		$81.28	$89.13	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $81.28 / $144.54	Professional		$66.07	$81.28	$144.54
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $109.65 / $158.49	Facility		$87.10	$109.65	$158.49
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $158.49	Professional		$87.10	$109.65	$158.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $95.50 / $165.96	Facility		$52.48	$95.50	$165.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $181.97	Professional		$67.61	$93.33	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $100.00 / $158.49	Professional		$77.62	$100.00	$158.49