Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $169.82	Facility		$97.72	$97.72	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $169.82 / $169.82	Professional		$97.72	$169.82	$169.82
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $154.88 / $194.98	Facility		$117.49	$154.88	$194.98
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $154.88 / $194.98	Professional		$117.49	$154.88	$194.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $131.83 / $169.82	Facility		$97.72	$131.83	$169.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $97.72 / $169.82	Professional		$79.43	$97.72	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $66.07 / $125.89	Facility		$6.61	$66.07	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $87.10	Professional		$79.43	$79.43	$87.10