Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $776.25 / $776.25 / $1,000.00	Facility	25	$776.25	$776.25	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $128.82 / $380.19	Professional		$83.18	$128.82	$380.19
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $117.49 / $338.84 / $691.83	Professional	25	$117.49	$338.84	$691.83
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 $169.82 / $190.55 / $190.55	Professional		$169.82	$190.55	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $218.78	Professional		$112.20	$162.18	$218.78
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $204.17 / $229.09	Facility		$190.55	$204.17	$229.09
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $204.17 / $229.09	Professional		$190.55	$204.17	$229.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $151.36 / $251.19	Facility		$100.00	$151.36	$251.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $173.78 / $302.00	Professional		$79.43	$173.78	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $223.87	Professional		$123.03	$190.55	$223.87