Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility	50	$3,090.30	$3,090.30	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $724.44 / $1,445.44	Professional		$489.78	$724.44	$1,445.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $741.31 / $831.76 / $1,380.38	Professional	50	$741.31	$831.76	$1,380.38
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 / $1,174.90	Professional		$933.25	$933.25	$1,174.90
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 $575.44 / $758.58 / $1,202.26	Professional		$575.44	$758.58	$1,202.26
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $1,380.38	Facility		$1,000.00	$1,230.27	$1,380.38
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $1,380.38	Professional		$1,000.00	$1,230.27	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $933.25 / $1,548.82	Facility		$630.96	$933.25	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $794.33 / $1,202.26	Professional		$79.43	$794.33	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $1,380.38	Professional		$891.25	$1,122.02	$1,380.38