Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $660.69	Facility		$467.74	$467.74	$660.69
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $501.19 / $537.03 / $537.03	Facility	25	$501.19	$537.03	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $70.79 / $218.78	Professional		$51.29	$70.79	$218.78
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $72.44 / $147.91 / $323.59	Professional	25	$72.44	$147.91	$323.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81,283.05 / $81,283.05 / $81,283.05	Facility		$81,283.05	$81,283.05	$81,283.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $112.20 / $112.20	Professional		$100.00	$112.20	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $93.33 / $128.82	Professional		$58.88	$93.33	$128.82
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $120.23 / $131.83	Facility		$100.00	$120.23	$131.83
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $131.83	Professional		$100.00	$120.23	$131.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $89.13 / $144.54	Facility		$58.88	$89.13	$144.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $102.33 / $177.83	Professional		$74.13	$102.33	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $102.33 / $123.03	Professional		$72.44	$102.33	$123.03