Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $128.82 / $269.15	Professional		$79.43	$128.82	$269.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $186.21	Professional		$128.82	$128.82	$186.21
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $144.54 / $177.83	Facility		$138.04	$144.54	$177.83
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $144.54 / $177.83	Professional		$138.04	$144.54	$177.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $102.33 / $177.83	Facility		$74.13	$102.33	$177.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $85.11 / $186.21	Professional		$79.43	$85.11	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $69.18 / $141.25	Professional		$53.70	$69.18	$141.25