Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $269.15 / $812.83	Facility		$251.19	$269.15	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $234.42	Professional		$100.00	$134.90	$234.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $812.83 / $95,499.26	Facility		$190.55	$812.83	$95,499.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $208.93	Professional		$69.18	$69.18	$208.93
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $177.83 / $436.52	Facility		$141.25	$177.83	$436.52
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $177.83 / $436.52	Professional		$141.25	$177.83	$436.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $208.93 / $316.23	Facility		$125.89	$208.93	$316.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $229.09	Professional		$128.82	$128.82	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $141.25	Professional		$60.26	$60.26	$141.25