Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $177.83	Professional		$19.95	$25.12	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $31.62 / $38.90	Professional		$13.18	$31.62	$38.90
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $33.88 / $81.28	Facility		$26.92	$33.88	$81.28
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.88 / $81.28	Professional		$26.92	$33.88	$81.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $38.90	Professional		$24.55	$24.55	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $26.92	Professional		$11.48	$11.48	$26.92