Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $144.54 / $169.82	Professional		$77.62	$144.54	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $263.03 / $309.03	Facility		$223.87	$263.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $186.21 / $263.03	Professional		$114.82	$186.21	$263.03
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $281.84 / $288.40	Facility		$177.83	$281.84	$288.40
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $281.84 / $288.40	Professional		$177.83	$281.84	$288.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $128.82 / $257.04	Facility		$77.62	$128.82	$257.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $162.18 / $288.40	Professional		$79.43	$162.18	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $169.82	Professional		$123.03	$165.96	$169.82