Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $389.05	Professional		$102.33	$141.25	$389.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $208.93 / $208.93	Professional		$186.21	$208.93	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $302.00	Professional		$125.89	$177.83	$302.00
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $229.09 / $245.47	Facility		$223.87	$229.09	$245.47
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $229.09 / $245.47	Professional		$223.87	$229.09	$245.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $186.21 / $309.03	Facility		$112.20	$186.21	$309.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $213.80 / $331.13	Professional		$79.43	$213.80	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $213.80 / $257.04	Professional		$141.25	$213.80	$257.04