Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $204.17	Professional		$162.18	$162.18	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $64,565.42 / $95,499.26	Facility		$218.78	$64,565.42	$95,499.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $346.74	Facility		$186.21	$186.21	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $186.21	Professional		$162.18	$162.18	$186.21
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $154.88 / $281.84	Facility		$120.23	$154.88	$281.84
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $281.84	Professional		$120.23	$154.88	$281.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $181.97 / $302.00	Facility		$162.18	$181.97	$302.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $186.21 / $208.93	Professional		$79.43	$186.21	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18