Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $162.18 / $251.19	Professional		$89.13	$162.18	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $151.36	Professional		$128.82	$128.82	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $141.25 / $158.49	Professional		$128.82	$141.25	$158.49
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $165.96 / $204.17	Facility		$125.89	$165.96	$204.17
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $165.96 / $204.17	Professional		$125.89	$165.96	$204.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $117.49 / $208.93	Facility		$72.44	$117.49	$208.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $117.49 / $158.49	Professional		$79.43	$117.49	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $61.66 / $141.25	Professional		$52.48	$61.66	$141.25