Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $102.33 / $251.19	Professional		$79.43	$102.33	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $173.78	Professional		$147.91	$147.91	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $147.91 / $173.78	Facility		$125.89	$147.91	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $245.47	Professional		$87.10	$125.89	$245.47
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $173.78 / $194.98	Facility		$158.49	$173.78	$194.98
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $173.78 / $194.98	Professional		$158.49	$173.78	$194.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $141.25 / $213.80	Facility		$85.11	$141.25	$213.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $173.78 / $288.40	Professional		$85.11	$173.78	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $162.18 / $204.17	Professional		$102.33	$162.18	$204.17