Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $151.36 / $169.82	Facility		$83.18	$151.36	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $114.82 / $251.19	Professional		$67.61	$114.82	$251.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,565.42 / $83,176.38 / $95,499.26	Facility		$64,565.42	$83,176.38	$95,499.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $154.88	Facility		$128.82	$128.82	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $125.89 / $204.17	Professional		$66.07	$125.89	$204.17
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $144.54 / $173.78	Facility		$141.25	$144.54	$173.78
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $144.54 / $173.78	Professional		$141.25	$144.54	$173.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $125.89 / $199.53	Facility		$69.18	$125.89	$199.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $134.90 / $208.93	Professional		$79.43	$134.90	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $186.21	Professional		$123.03	$162.18	$186.21