Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $75,857.76 / $95,499.26	Facility		$128.82	$75,857.76	$95,499.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $51.29 / $147.91	Facility		$38.90	$51.29	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $30.90	Professional		$24.55	$24.55	$30.90
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $42.66 / $43.65	Facility		$39.81	$42.66	$43.65
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $42.66 / $43.65	Professional		$39.81	$42.66	$43.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $51.29 / $147.91	Facility		$38.90	$51.29	$147.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $32.36 / $56.23	Professional		$22.91	$32.36	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.23 / $25.12	Professional		$10.00	$10.23	$25.12