Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $147.91 / $204.17	Facility		$47.86	$147.91	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $181.97 / $436.52	Professional		$107.15	$181.97	$436.52
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $123.03 / $204.17 / $537.03	Professional	25	$123.03	$204.17	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $223.87 / $263.03	Professional		$208.93	$223.87	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $208.93 / $263.03	Facility		$177.83	$208.93	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $354.81	Professional		$120.23	$173.78	$354.81
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $251.19 / $295.12	Facility		$213.80	$251.19	$295.12
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $251.19 / $295.12	Professional		$213.80	$251.19	$295.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $181.97 / $309.03	Facility		$114.82	$181.97	$309.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $251.19 / $416.87	Professional		$109.65	$251.19	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $213.80 / $288.40	Professional		$131.83	$213.80	$288.40