Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $213.80	Professional		$107.15	$138.04	$213.80
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $125.89 / $125.89 / $125.89	Professional	25	$125.89	$125.89	$125.89
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 $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $288.40	Facility		$239.88	$239.88	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $204.17 / $323.59	Professional		$89.13	$204.17	$323.59
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $263.03 / $281.84	Facility		$218.78	$263.03	$281.84
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $263.03 / $281.84	Professional		$218.78	$263.03	$281.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $288.40	Facility		$239.88	$239.88	$288.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $125.89 / $323.59	Professional		$79.43	$125.89	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $218.78 / $239.88	Professional		$177.83	$218.78	$239.88