Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $117.49	Professional		$25.12	$32.36	$117.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $120.23 / $91,201.08	Facility		$45.71	$120.23	$91,201.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $57.54 / $194.98	Facility		$50.12	$57.54	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $38.90 / $50.12	Professional		$21.38	$38.90	$50.12
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $45.71 / $104.71	Facility		$33.88	$45.71	$104.71
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $45.71 / $104.71	Professional		$33.88	$45.71	$104.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $57.54 / $194.98	Facility		$50.12	$57.54	$194.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $50.12	Professional		$30.90	$30.90	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $43.65	Professional		$14.45	$14.45	$43.65