Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $117.49	Facility		$26.92	$26.92	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $128.82	Professional		$14.13	$18.20	$128.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $128.82	Facility		$26.30	$26.30	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $33.11 / $112.20	Facility		$28.18	$33.11	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $22.91 / $28.18	Professional		$11.48	$22.91	$28.18
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $26.30 / $58.88	Facility		$19.50	$26.30	$58.88
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $26.30 / $58.88	Professional		$19.50	$26.30	$58.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $33.11 / $112.20	Facility		$24.55	$33.11	$112.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $28.18	Professional		$17.78	$17.78	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $23.44	Professional		$8.32	$8.32	$23.44