Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $151.36 / $426.58	Facility		$54.95	$151.36	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $89.13 / $181.97	Professional		$70.79	$89.13	$181.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $75,857.76 / $95,499.26	Facility		$91.20	$75,857.76	$95,499.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $204.17	Facility		$79.43	$79.43	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $81.28 / $81.28	Professional		$79.43	$81.28	$81.28
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $74.13 / $218.78	Facility		$70.79	$74.13	$218.78
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $74.13 / $218.78	Professional		$70.79	$74.13	$218.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $204.17	Facility		$79.43	$79.43	$204.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $81.28 / $107.15	Professional		$79.43	$81.28	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $87.10	Professional		$81.28	$81.28	$87.10