Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $117.49 / $389.05	Facility		$77.62	$117.49	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $134.90 / $512.86	Professional		$102.33	$134.90	$512.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $91,201.08	Facility		$194.98	$194.98	$91,201.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $245.47 / $831.76	Facility		$208.93	$245.47	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $208.93	Professional		$85.11	$85.11	$208.93
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $194.98 / $436.52	Facility		$144.54	$194.98	$436.52
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $194.98 / $436.52	Professional		$144.54	$194.98	$436.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $245.47 / $831.76	Facility		$128.82	$245.47	$831.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $229.09	Professional		$128.82	$128.82	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $158.49	Professional		$87.10	$87.10	$158.49