Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $57.54 / $331.13	Professional		$46.77	$57.54	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $89.13	Professional		$64.57	$81.28	$89.13
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $83.18 / $186.21	Facility		$61.66	$83.18	$186.21
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $83.18 / $186.21	Professional		$61.66	$83.18	$186.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $77.62	Professional		$56.23	$56.23	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $79.43	Professional		$26.30	$26.30	$79.43