Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $120.23 / $199.53	Professional		$102.33	$120.23	$199.53
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $147.91 / $147.91 / $147.91	Professional	25	$147.91	$147.91	$147.91
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 $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $245.47	Facility		$208.93	$208.93	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $177.83 / $346.74	Professional		$77.62	$177.83	$346.74
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $229.09 / $257.04	Facility		$213.80	$229.09	$257.04
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $229.09 / $257.04	Professional		$213.80	$229.09	$257.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $245.47	Facility		$208.93	$208.93	$245.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $120.23 / $302.00	Professional		$77.62	$120.23	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $234.42	Professional		$169.82	$213.80	$234.42