Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $128.82 / $316.23	Facility		$19.50	$128.82	$316.23
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $112.20 / $112.20 / $354.81	Facility	25	$112.20	$112.20	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $123.03 / $323.59	Professional		$54.95	$123.03	$323.59
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $61.66 / $134.90 / $354.81	Professional	25	$61.66	$134.90	$354.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $95.50 / $95.50 / $95.50	Professional	50	$95.50	$95.50	$95.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $173.78 / $204.17	Professional		$151.36	$173.78	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $151.36 / $204.17	Facility		$128.82	$151.36	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $117.49 / $239.88	Professional		$75.86	$117.49	$239.88
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $173.78 / $223.87	Facility		$131.83	$173.78	$223.87
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $223.87	Professional		$131.83	$173.78	$223.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $123.03 / $204.17	Facility		$77.62	$123.03	$204.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $177.83 / $323.59	Professional		$79.43	$177.83	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $134.90 / $186.21	Professional		$91.20	$134.90	$186.21