Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $281.84 / $1,995.26	Professional		$229.09	$281.84	$1,995.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $512.86 / $1,698.24	Facility		$436.52	$512.86	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $436.52	Professional		$141.25	$141.25	$436.52
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $407.38 / $912.01	Facility		$302.00	$407.38	$912.01
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $407.38 / $912.01	Professional		$302.00	$407.38	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $512.86 / $1,698.24	Facility		$269.15	$512.86	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $478.63	Professional		$269.15	$269.15	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $302.00	Professional		$125.89	$125.89	$302.00