Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $234.42 / $302.00	Facility		$57.54	$234.42	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $34.67 / $138.04	Professional		$25.70	$34.67	$138.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $131.83 / $91,201.08	Facility		$50.12	$131.83	$91,201.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $64.57 / $213.80	Facility		$54.95	$64.57	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $43.65 / $54.95	Professional		$25.70	$43.65	$54.95
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $53.70 / $117.49	Facility		$38.02	$53.70	$117.49
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $53.70 / $117.49	Professional		$38.02	$53.70	$117.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $64.57 / $213.80	Facility		$54.95	$64.57	$213.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $54.95	Professional		$33.88	$33.88	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $16.22 / $51.29	Professional		$15.85	$16.22	$51.29