Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $213.80 / $380.19	Facility		$89.13	$213.80	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.60 / $112.20	Professional		$12.88	$16.60	$112.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $46,773.51 / $95,499.26	Facility		$22.91	$46,773.51	$95,499.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $28.84 / $97.72	Facility		$25.12	$28.84	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $24.55 / $30.90	Professional		$9.55	$24.55	$30.90
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $25.12 / $52.48	Facility		$16.98	$25.12	$52.48
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.12 / $52.48	Professional		$16.98	$25.12	$52.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $28.84 / $97.72	Facility		$25.12	$28.84	$97.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $30.90	Professional		$15.49	$15.49	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $19.95	Professional		$7.24	$7.24	$19.95