Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $114.82 / $199.53	Professional		$57.54	$114.82	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $131.83	Facility		$112.20	$112.20	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $77.62 / $128.82	Professional		$57.54	$77.62	$128.82
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $123.03 / $134.90	Facility		$120.23	$123.03	$134.90
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $123.03 / $134.90	Professional		$120.23	$123.03	$134.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $104.71 / $158.49	Facility		$72.44	$104.71	$158.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $177.83	Professional		$70.79	$102.33	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $147.91	Professional		$100.00	$123.03	$147.91