Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $95.50 / $213.80	Facility		$33.88	$95.50	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $114.82	Professional		$12.88	$15.85	$114.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $60.26 / $91,201.08	Facility		$22.91	$60.26	$91,201.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $19.95 / $25.12	Professional		$8.32	$19.95	$25.12
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $21.38 / $52.48	Facility		$17.38	$21.38	$52.48
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $21.38 / $52.48	Professional		$17.38	$21.38	$52.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $25.12	Professional		$15.49	$15.49	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $17.38	Professional		$7.24	$7.24	$17.38