Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $70.79 / $138.04	Facility		$38.90	$70.79	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $131.83	Professional		$15.14	$19.05	$131.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $91,201.08	Facility		$26.92	$26.92	$91,201.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $33.88 / $114.82	Facility		$28.84	$33.88	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $28.84	Professional		$13.80	$13.80	$28.84
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $28.18 / $63.10	Facility		$19.95	$28.18	$63.10
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $63.10	Professional		$19.95	$28.18	$63.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $33.88 / $58.88	Facility		$17.78	$33.88	$58.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $32.36	Professional		$18.20	$18.20	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $19.95	Professional		$8.51	$8.51	$19.95