Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $218.78	Professional		$77.62	$77.62	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Professional		$11.48	$11.48	$11.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $114.82	Facility		$60.26	$60.26	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $72.44 / $114.82	Professional		$60.26	$72.44	$114.82
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $91.20 / $114.82	Facility		$74.13	$91.20	$114.82
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $91.20 / $114.82	Professional		$74.13	$91.20	$114.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $114.82 / $165.96	Facility		$60.26	$114.82	$165.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $79.43 / $114.82	Professional		$72.44	$79.43	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $38.90 / $66.07	Facility		$4.47	$38.90	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $61.66	Professional		$44.67	$44.67	$61.66