Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $158.49 / $616.60	Facility		$58.88	$158.49	$616.60
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $123.03 / $190.55 / $190.55	Facility	25	$123.03	$190.55	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $53.70 / $123.03	Professional		$28.18	$53.70	$123.03
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $30.20 / $58.88 / $123.03	Professional	25	$30.20	$58.88	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $75.86 / $89.13	Professional		$54.95	$75.86	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $54.95 / $89.13	Facility		$46.77	$54.95	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $45.71 / $95.50	Professional		$26.30	$45.71	$95.50
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $66.07 / $100.00	Facility		$42.66	$66.07	$100.00
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $66.07 / $100.00	Professional		$42.66	$66.07	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $50.12 / $87.10	Facility		$28.84	$50.12	$87.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $79.43 / $141.25	Professional		$35.48	$79.43	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $47.86 / $79.43	Professional		$32.36	$47.86	$79.43