Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $257.04 / $501.19	Professional		$181.97	$257.04	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $263.03 / $302.00	Professional		$154.88	$263.03	$302.00
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $331.13 / $354.81	Facility		$309.03	$331.13	$354.81
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $331.13 / $354.81	Professional		$309.03	$331.13	$354.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $263.03 / $363.08	Facility		$181.97	$263.03	$363.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $263.03 / $398.11	Professional		$79.43	$263.03	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $316.23 / $371.54	Professional		$245.47	$316.23	$371.54