Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $117.49 / $138.04	Facility		$83.18	$117.49	$138.04
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $263.03 / $2,630.27 / $2,630.27	Facility	50	$263.03	$2,630.27	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $58.88 / $151.36	Professional		$31.62	$58.88	$151.36
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $47.86 / $104.71 / $263.03	Professional	50	$47.86	$104.71	$263.03
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $26.92 / $26.92 / $26.92	Professional	52	$26.92	$26.92	$26.92
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 $51.29 / $75.86 / $75.86	Professional		$51.29	$75.86	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $53.70 / $81.28	Professional		$36.31	$53.70	$81.28
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $81.28 / $89.13	Facility		$54.95	$81.28	$89.13
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $81.28 / $89.13	Professional		$54.95	$81.28	$89.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $51.29 / $83.18	Facility		$33.88	$51.29	$83.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $67.61 / $93.33	Professional		$44.67	$67.61	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $112.20	Professional		$50.12	$70.79	$112.20