Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $81.28 / $223.87	Facility		$38.02	$81.28	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $43.65 / $173.78	Professional		$34.67	$43.65	$173.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $162.18 / $91,201.08	Facility		$63.10	$162.18	$91,201.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $79.43 / $269.15	Facility		$67.61	$79.43	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $53.70 / $67.61	Professional		$32.36	$53.70	$67.61
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $66.07 / $144.54	Facility		$46.77	$66.07	$144.54
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $66.07 / $144.54	Professional		$46.77	$66.07	$144.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $79.43 / $269.15	Facility		$67.61	$79.43	$269.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $67.61	Professional		$42.66	$42.66	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $20.42 / $64.57	Professional		$19.95	$20.42	$64.57