Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $645.65	Facility		$562.34	$562.34	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $91.20 / $630.96	Professional		$72.44	$91.20	$630.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $691.83 / $95,499.26	Facility		$125.89	$691.83	$95,499.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $162.18 / $537.03	Facility		$138.04	$162.18	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $141.25 / $288.40	Facility		$95.50	$141.25	$288.40
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $141.25 / $288.40	Professional		$95.50	$141.25	$288.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $162.18 / $537.03	Facility		$85.11	$162.18	$537.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $91.20 / $151.36	Professional		$85.11	$91.20	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $95.50	Professional		$39.81	$39.81	$95.50