Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $263.03 / $338.84	Facility		$29.51	$263.03	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.88 / $134.90	Professional		$26.92	$33.88	$134.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $128.82 / $91,201.08	Facility		$48.98	$128.82	$91,201.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $61.66 / $208.93	Facility		$52.48	$61.66	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $41.69 / $52.48	Professional		$25.12	$41.69	$52.48
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $51.29 / $112.20	Facility		$36.31	$51.29	$112.20
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $51.29 / $112.20	Professional		$36.31	$51.29	$112.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $61.66 / $208.93	Facility		$52.48	$61.66	$208.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $52.48	Professional		$33.11	$33.11	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.85 / $50.12	Professional		$15.49	$15.85	$50.12