Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $102.33	Professional		$61.66	$75.86	$102.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $120.23	Professional		$107.15	$107.15	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $134.90 / $158.49	Facility		$117.49	$134.90	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $194.98	Professional		$87.10	$114.82	$194.98
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $134.90 / $147.91	Facility		$128.82	$134.90	$147.91
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $134.90 / $147.91	Professional		$128.82	$134.90	$147.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $77.62 / $128.82	Facility		$63.10	$77.62	$128.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $165.96	Professional		$79.43	$107.15	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $134.90 / $169.82	Professional		$109.65	$134.90	$169.82