Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $75.86	Professional		$15.14	$19.05	$75.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $72.44 / $91,201.08	Facility		$27.54	$72.44	$91,201.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $35.48 / $117.49	Facility		$30.20	$35.48	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $23.99 / $30.20	Professional		$14.45	$23.99	$30.20
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $29.51 / $63.10	Facility		$20.89	$29.51	$63.10
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $29.51 / $63.10	Professional		$20.89	$29.51	$63.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $35.48 / $117.49	Facility		$30.20	$35.48	$117.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $30.20	Professional		$18.62	$18.62	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.91 / $28.18	Professional		$8.71	$8.91	$28.18