Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $60.26 / $426.58	Professional		$47.86	$60.26	$426.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $64,565.42 / $95,499.26	Facility		$87.10	$64,565.42	$95,499.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $109.65 / $363.08	Facility		$93.33	$109.65	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $74.13 / $93.33	Professional		$44.67	$74.13	$93.33
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $91.20 / $199.53	Facility		$64.57	$91.20	$199.53
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $199.53	Professional		$64.57	$91.20	$199.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $109.65 / $363.08	Facility		$93.33	$109.65	$363.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $93.33	Professional		$57.54	$57.54	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $27.54 / $89.13	Professional		$26.92	$27.54	$89.13