Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility	50	$1,122.02	$1,122.02	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $346.74 / $794.33	Professional		$269.15	$346.74	$794.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $436.52 / $501.19 / $1,148.15	Professional	50	$436.52	$501.19	$1,148.15
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $288.40 / $288.40 / $309.03	Professional	54	$288.40	$288.40	$309.03
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $66.07 / $66.07 / $66.07	Professional	55	$66.07	$66.07	$66.07
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 $489.78 / $524.81 / $524.81	Professional		$489.78	$524.81	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $331.13 / $537.03	Professional		$302.00	$331.13	$537.03
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $549.54 / $630.96	Facility		$524.81	$549.54	$630.96
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $549.54 / $630.96	Professional		$524.81	$549.54	$630.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $426.58 / $891.25	Facility		$309.03	$426.58	$891.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $416.87 / $602.56	Professional		$79.43	$416.87	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $524.81 / $630.96	Professional		$457.09	$524.81	$630.96