Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $104.71 / $213.80	Professional		$57.54	$104.71	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $107.15	Professional		$60.26	$60.26	$107.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $60.26 / $74.13	Facility	26	$60.26	$60.26	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $169.82 / $245.47	Professional		$107.15	$169.82	$245.47
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $120.23 / $288.40	Professional		$117.49	$120.23	$288.40
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $60.26 / $74.13	Facility	26	$60.26	$60.26	$74.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $208.93	Professional		$100.00	$147.91	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $147.91 / $257.04	Professional		$93.33	$147.91	$257.04