Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $218.78 / $323.59	Facility		$141.25	$218.78	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $67.61 / $263.03	Professional		$54.95	$67.61	$263.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $257.04 / $91,201.08	Facility		$97.72	$257.04	$91,201.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $125.89 / $416.87	Facility		$107.15	$125.89	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $109.65 / $223.87	Facility		$74.13	$109.65	$223.87
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $109.65 / $223.87	Professional		$74.13	$109.65	$223.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $125.89 / $416.87	Facility		$66.07	$125.89	$416.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $117.49	Professional		$66.07	$66.07	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $74.13	Professional		$30.90	$30.90	$74.13