Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $53.70	Professional		$10.00	$12.88	$53.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $51.29 / $91,201.08	Facility		$19.50	$51.29	$91,201.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $25.12 / $83.18	Facility		$21.38	$25.12	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.98 / $21.38	Professional		$10.00	$16.98	$21.38
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $20.89 / $45.71	Facility		$14.79	$20.89	$45.71
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.89 / $45.71	Professional		$14.79	$20.89	$45.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $25.12 / $83.18	Facility		$21.38	$25.12	$83.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $21.38	Professional		$13.18	$13.18	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.31 / $20.42	Professional		$6.17	$6.31	$20.42