Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $107.15 / $338.84	Professional		$67.61	$107.15	$338.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $138.04 / $138.04	Professional		$123.03	$138.04	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $165.96	Facility		$138.04	$138.04	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $138.04 / $177.83	Professional		$72.44	$138.04	$177.83
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $151.36 / $177.83	Facility		$147.91	$151.36	$177.83
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $151.36 / $177.83	Professional		$147.91	$151.36	$177.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $138.04 / $218.78	Facility		$74.13	$138.04	$218.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $154.88 / $223.87	Professional		$79.43	$154.88	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $177.83 / $204.17	Professional		$147.91	$177.83	$204.17