Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $173.78	Facility		$66.07	$66.07	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $50.12	Professional		$10.00	$12.02	$50.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $47.86 / $91,201.08	Facility		$18.20	$47.86	$91,201.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $22.91 / $77.62	Facility		$19.50	$22.91	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $15.85 / $19.50	Professional		$9.33	$15.85	$19.50
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $19.05 / $41.69	Facility		$13.49	$19.05	$41.69
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $19.05 / $41.69	Professional		$13.49	$19.05	$41.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $22.91 / $77.62	Facility		$19.50	$22.91	$77.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $19.50	Professional		$12.30	$12.30	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.89 / $18.62	Professional		$5.75	$5.89	$18.62