Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $147.91 / $323.59	Facility		$67.61	$147.91	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $64.57 / $97.72	Professional		$51.29	$64.57	$97.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $64,565.42	Facility		$69.18	$69.18	$64,565.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $66.07 / $194.98	Facility		$51.29	$66.07	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $64.57 / $154.88	Facility		$51.29	$64.57	$154.88
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $64.57 / $154.88	Professional		$51.29	$64.57	$154.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $66.07 / $194.98	Facility		$51.29	$66.07	$194.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $51.29 / $81.28	Professional		$45.71	$51.29	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $51.29	Professional		$30.90	$30.90	$51.29