Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $91.20 / $141.25	Professional		$72.44	$91.20	$141.25
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $87.10 / $87.10 / $87.10	Professional	25	$87.10	$87.10	$87.10
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 $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $199.53	Facility		$169.82	$169.82	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $144.54 / $229.09	Professional		$70.79	$144.54	$229.09
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $186.21 / $199.53	Facility		$144.54	$186.21	$199.53
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $186.21 / $199.53	Professional		$144.54	$186.21	$199.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $199.53	Facility		$169.82	$169.82	$199.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $85.11 / $218.78	Professional		$70.79	$85.11	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $147.91 / $165.96	Professional		$120.23	$147.91	$165.96