Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $138.04 / $316.23	Facility		$52.48	$138.04	$316.23
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $125.89 / $125.89 / $501.19	Facility	25	$125.89	$125.89	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $89.13 / $223.87	Professional		$52.48	$89.13	$223.87
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $52.48 / $93.33 / $223.87	Professional	25	$52.48	$93.33	$223.87
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $257.04 / $269.15 / $269.15	Professional	50	$257.04	$269.15	$269.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $123.03 / $144.54	Professional		$102.33	$123.03	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $102.33 / $144.54	Facility		$87.10	$102.33	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $79.43 / $169.82	Professional		$48.98	$79.43	$169.82
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $117.49 / $158.49	Facility		$85.11	$117.49	$158.49
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $117.49 / $158.49	Professional		$85.11	$117.49	$158.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $83.18 / $141.25	Facility		$50.12	$83.18	$141.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $125.89 / $229.09	Professional		$60.26	$125.89	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $91.20 / $128.82	Professional		$60.26	$91.20	$128.82