Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $125.89 / $177.83	Professional		$64.57	$125.89	$177.83
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $72.44 / $134.90 / $223.87	Professional	25	$72.44	$134.90	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $117.49 / $199.53	Professional		$104.71	$117.49	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $120.23 / $199.53	Professional		$60.26	$120.23	$199.53
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $162.18 / $218.78	Facility		$125.89	$162.18	$218.78
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $162.18 / $218.78	Professional		$125.89	$162.18	$218.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $91.20 / $177.83	Facility		$56.23	$91.20	$177.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $117.49 / $199.53	Professional		$77.62	$117.49	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $141.25 / $218.78	Professional		$95.50	$141.25	$218.78