Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $380.19	Professional		$79.43	$104.71	$380.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $147.91	Professional		$28.18	$28.18	$147.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $28.18 / $35.48	Facility	26	$28.18	$28.18	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $117.49 / $223.87	Professional		$69.18	$117.49	$223.87
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $245.47	Professional		$123.03	$162.18	$245.47
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $28.18 / $35.48	Facility	26	$28.18	$28.18	$35.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $208.93 / $263.03	Professional		$109.65	$208.93	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $91.20 / $154.88	Professional		$75.86	$91.20	$154.88