Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $1,148.15	Facility		$457.09	$457.09	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $102.33 / $446.68	Professional		$93.33	$102.33	$446.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $213.80 / $95,499.26	Facility		$91.20	$213.80	$95,499.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $257.04	Facility		$104.71	$104.71	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $104.71	Professional		$93.33	$93.33	$104.71
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $93.33 / $269.15	Facility		$57.54	$93.33	$269.15
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $93.33 / $269.15	Professional		$57.54	$93.33	$269.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $257.04	Facility		$104.71	$104.71	$257.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $95.50 / $131.83	Professional		$79.43	$95.50	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33