Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $56.23 / $199.53	Professional		$25.12	$56.23	$199.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $64,565.42 / $95,499.26	Facility		$104.71	$64,565.42	$95,499.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $51.29 / $169.82	Facility		$43.65	$51.29	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $34.67 / $43.65	Professional		$8.32	$34.67	$43.65
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $37.15 / $91.20	Facility		$21.38	$37.15	$91.20
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $37.15 / $91.20	Professional		$21.38	$37.15	$91.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $51.29 / $169.82	Facility		$17.38	$51.29	$169.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $43.65	Professional		$26.92	$26.92	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $12.59 / $18.20	Professional		$6.92	$12.59	$18.20