Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.84 / $204.17	Professional		$22.91	$28.84	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $107.15 / $91,201.08	Facility		$41.69	$107.15	$91,201.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $52.48 / $177.83	Facility		$44.67	$52.48	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $35.48 / $44.67	Professional		$15.85	$35.48	$44.67
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $40.74 / $93.33	Facility		$30.90	$40.74	$93.33
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $40.74 / $93.33	Professional		$30.90	$40.74	$93.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $52.48 / $177.83	Facility		$44.67	$52.48	$177.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $44.67	Professional		$27.54	$27.54	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $31.62	Professional		$12.88	$12.88	$31.62