Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $54.95 / $173.78	Facility		$11.75	$54.95	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $66.07	Professional		$12.88	$15.85	$66.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $61.66 / $91,201.08	Facility		$23.99	$61.66	$91,201.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $30.20 / $102.33	Facility		$25.70	$30.20	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $20.42 / $25.70	Professional		$12.30	$20.42	$25.70
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $25.12 / $54.95	Facility		$17.78	$25.12	$54.95
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $25.12 / $54.95	Professional		$17.78	$25.12	$54.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $30.20 / $102.33	Facility		$25.70	$30.20	$102.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $25.70	Professional		$16.22	$16.22	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.76 / $24.55	Professional		$7.59	$7.76	$24.55