Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $134.90	Facility		$15.14	$15.14	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $100.00	Professional		$10.96	$14.13	$100.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $53.70 / $91,201.08	Facility		$20.42	$53.70	$91,201.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $26.30 / $87.10	Facility		$22.39	$26.30	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $17.38 / $22.39	Professional		$7.76	$17.38	$22.39
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $20.42 / $46.77	Facility		$15.14	$20.42	$46.77
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.42 / $46.77	Professional		$15.14	$20.42	$46.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $26.30 / $87.10	Facility		$16.60	$26.30	$87.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $22.39	Professional		$13.80	$13.80	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $15.85	Professional		$6.46	$6.46	$15.85