Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $204.17 / $380.19	Professional		$131.83	$204.17	$380.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional	50	$1,348.96	$1,348.96	$1,348.96
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 $234.42 / $234.42 / $371.54	Professional		$234.42	$234.42	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $234.42 / $371.54	Professional		$147.91	$234.42	$371.54
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $371.54 / $436.52	Facility		$251.19	$371.54	$436.52
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $371.54 / $436.52	Professional		$251.19	$371.54	$436.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $223.87 / $323.59	Facility		$151.36	$223.87	$323.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $223.87 / $371.54	Professional		$79.43	$223.87	$371.54
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 $223.87 / $309.03 / $426.58	Professional		$223.87	$309.03	$426.58