Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $109.65 / $128.82	Professional		$95.50	$109.65	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
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 $169.82 / $199.53 / $199.53	Professional		$169.82	$199.53	$199.53
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $213.80 / $223.87	Facility		$208.93	$213.80	$223.87
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $213.80 / $223.87	Professional		$208.93	$213.80	$223.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $131.83 / $213.80	Facility		$81.28	$131.83	$213.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $169.82 / $213.80	Professional		$79.43	$169.82	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $208.93 / $229.09	Professional		$190.55	$208.93	$229.09