Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $50.12 / $85.11	Professional		$30.90	$50.12	$85.11
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $77.62 / $77.62 / $77.62	Professional	25	$77.62	$77.62	$77.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,565.42 / $83,176.38 / $95,499.26	Facility		$64,565.42	$83,176.38	$95,499.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $77.62 / $114.82	Professional		$70.79	$77.62	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $114.82 / $134.90	Facility		$77.62	$114.82	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $70.79 / $114.82	Professional		$30.90	$70.79	$114.82
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $87.10 / $125.89	Facility		$67.61	$87.10	$125.89
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $87.10 / $125.89	Professional		$67.61	$87.10	$125.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $51.29 / $87.10	Facility		$33.88	$51.29	$87.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $79.43 / $112.20	Professional		$42.66	$79.43	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $67.61 / $93.33	Professional		$39.81	$67.61	$93.33