Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $190.55 / $1,348.96	Professional		$151.36	$190.55	$1,348.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,258.93 / $95,499.26	Facility		$269.15	$1,258.93	$95,499.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $346.74 / $1,148.15	Facility		$295.12	$346.74	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $295.12	Professional		$95.50	$95.50	$295.12
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $263.03 / $616.60	Facility		$204.17	$263.03	$616.60
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $263.03 / $616.60	Professional		$204.17	$263.03	$616.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $346.74 / $1,148.15	Facility		$181.97	$346.74	$1,148.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $323.59	Professional		$181.97	$181.97	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $204.17	Professional		$85.11	$85.11	$204.17