Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $79.43 / $79.43	Facility		$50.12	$79.43	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.92 / $109.65	Professional		$21.88	$26.92	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $102.33 / $91,201.08	Facility		$39.81	$102.33	$91,201.08
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 $42.66 / $50.12 / $169.82	Facility		$42.66	$50.12	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $33.88 / $42.66	Professional		$20.42	$33.88	$42.66
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $41.69 / $91.20	Facility		$29.51	$41.69	$91.20
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $41.69 / $91.20	Professional		$29.51	$41.69	$91.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $50.12 / $169.82	Facility		$42.66	$50.12	$169.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $42.66	Professional		$26.30	$26.30	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.88 / $40.74	Professional		$12.30	$12.88	$40.74