Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $112.20 / $398.11	Facility		$75.86	$112.20	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.62 / $41.69	Professional		$12.88	$18.62	$41.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $53.70 / $91,201.08	Facility		$20.89	$53.70	$91,201.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $26.30 / $89.13	Facility		$22.39	$26.30	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $17.78 / $22.39	Professional		$10.72	$17.78	$22.39
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $21.88 / $47.86	Facility		$15.49	$21.88	$47.86
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $21.88 / $47.86	Professional		$15.49	$21.88	$47.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $26.30 / $89.13	Facility		$22.39	$26.30	$89.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $22.39	Professional		$13.80	$13.80	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $21.38	Professional		$9.33	$9.33	$21.38