Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $724.44 / $1,513.56	Professional		$512.86	$724.44	$1,513.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional	50	$1,445.44	$1,445.44	$1,445.44
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional	54	$1,288.25	$1,288.25	$1,288.25
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 $933.25 / $933.25 / $1,096.48	Professional		$933.25	$933.25	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $691.83 / $1,122.02	Professional		$588.84	$691.83	$1,122.02
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,122.02 / $1,288.25	Facility		$1,000.00	$1,122.02	$1,288.25
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,122.02 / $1,288.25	Professional		$1,000.00	$1,122.02	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $794.33 / $1,071.52	Facility		$645.65	$794.33	$1,071.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $794.33 / $1,174.90	Professional		$79.43	$794.33	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,288.25	Professional		$912.01	$1,071.52	$1,288.25