Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $67.61 / $151.36	Professional		$56.23	$67.61	$151.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $114.82 / $114.82	Professional		$102.33	$114.82	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $100.00 / $169.82	Professional		$69.18	$100.00	$169.82
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $125.89 / $134.90	Facility		$123.03	$125.89	$134.90
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $125.89 / $134.90	Professional		$123.03	$125.89	$134.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $95.50 / $162.18	Facility		$61.66	$95.50	$162.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $117.49 / $181.97	Professional		$79.43	$117.49	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $123.03 / $151.36	Professional		$77.62	$123.03	$151.36