Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $154.88 / $724.44	Facility		$117.49	$154.88	$724.44
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $85.11 / $85.11 / $107.15	Facility	25	$85.11	$85.11	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $21.38 / $54.95	Professional		$7.76	$21.38	$54.95
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $18.20 / $32.36 / $67.61	Professional	25	$18.20	$32.36	$67.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $31.62 / $37.15	Professional		$13.80	$31.62	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $13.80 / $37.15	Facility		$11.75	$13.80	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $19.95 / $37.15	Professional		$8.91	$19.95	$37.15
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $25.70 / $40.74	Facility		$14.79	$25.70	$40.74
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $25.70 / $40.74	Professional		$14.79	$25.70	$40.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $21.38 / $37.15	Facility		$8.32	$21.38	$37.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $23.99 / $64.57	Professional		$12.30	$23.99	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $21.38 / $39.81	Professional		$11.48	$21.38	$39.81