Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $32.36 / $107.15	Professional		$25.70	$32.36	$107.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $123.03 / $91,201.08	Facility		$46.77	$123.03	$91,201.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $60.26 / $199.53	Facility		$51.29	$60.26	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $51.29	Professional		$23.99	$23.99	$51.29
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $50.12 / $109.65	Facility		$35.48	$50.12	$109.65
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $50.12 / $109.65	Professional		$35.48	$50.12	$109.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $60.26 / $104.71	Facility		$30.90	$60.26	$104.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $56.23	Professional		$31.62	$31.62	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $35.48	Professional		$14.79	$14.79	$35.48