Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $436.52 / $436.52	Facility		$186.21	$436.52	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $269.15	Professional		$87.10	$114.82	$269.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $66,069.34 / $95,499.26	Facility		$302.00	$66,069.34	$95,499.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $169.82	Professional		$52.48	$52.48	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $141.25 / $389.05	Facility		$104.71	$141.25	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $131.83 / $257.04	Professional		$74.13	$131.83	$257.04
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $186.21 / $281.84	Facility		$162.18	$186.21	$281.84
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $186.21 / $281.84	Professional		$162.18	$186.21	$281.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $151.36 / $234.42	Facility		$100.00	$151.36	$234.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $239.88 / $288.40	Professional		$134.90	$239.88	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $104.71 / $177.83	Professional		$93.33	$104.71	$177.83