Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $109.65 / $199.53	Professional		$83.18	$109.65	$199.53
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $144.54 / $169.82 / $181.97	Professional	50	$144.54	$169.82	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $151.36	Professional		$125.89	$125.89	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $125.89 / $204.17	Professional		$77.62	$125.89	$204.17
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $165.96 / $204.17	Facility		$134.90	$165.96	$204.17
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $165.96 / $204.17	Professional		$134.90	$165.96	$204.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $123.03 / $177.83	Facility		$61.66	$123.03	$177.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $181.97	Professional		$79.43	$107.15	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $147.91 / $186.21	Professional		$120.23	$147.91	$186.21