Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $39.81 / $154.88	Professional		$32.36	$39.81	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $72.44 / $245.47	Facility		$61.66	$72.44	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $61.66	Professional		$29.51	$29.51	$61.66
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $60.26 / $134.90	Facility		$42.66	$60.26	$134.90
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $60.26 / $134.90	Professional		$42.66	$60.26	$134.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $72.44 / $125.89	Facility		$38.02	$72.44	$125.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $69.18	Professional		$38.90	$38.90	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $42.66	Professional		$17.78	$17.78	$42.66