Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $91.20 / $109.65	Facility		$43.65	$91.20	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $53.70	Professional		$10.00	$12.88	$53.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $50.12 / $91,201.08	Facility		$19.50	$50.12	$91,201.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $24.55 / $81.28	Facility		$20.89	$24.55	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $16.60 / $20.89	Professional		$9.77	$16.60	$20.89
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $19.50 / $43.65	Facility		$14.45	$19.50	$43.65
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $19.50 / $43.65	Professional		$14.45	$19.50	$43.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $24.55 / $81.28	Facility		$17.78	$24.55	$81.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $20.89	Professional		$12.88	$12.88	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.17 / $19.95	Professional		$6.03	$6.17	$19.95