Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $112.20 / $275.42	Professional		$100.00	$112.20	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $208.93 / $645.65	Facility		$169.82	$208.93	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.23 / $218.78	Professional		$91.20	$120.23	$218.78
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $186.21 / $263.03	Facility		$177.83	$186.21	$263.03
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $186.21 / $263.03	Professional		$177.83	$186.21	$263.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $190.55 / $331.13	Facility		$117.49	$190.55	$331.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $109.65 / $218.78	Professional		$79.43	$109.65	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $144.54 / $190.55	Professional		$138.04	$144.54	$190.55