Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $218.78	Professional		$173.78	$173.78	$218.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $309.03 / $95,499.26	Facility		$154.88	$309.03	$95,499.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $363.08	Facility		$204.17	$204.17	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $204.17	Professional		$173.78	$173.78	$204.17
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $158.49 / $302.00	Facility		$104.71	$158.49	$302.00
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $158.49 / $302.00	Professional		$104.71	$158.49	$302.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $173.78 / $275.42	Facility		$104.71	$173.78	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $204.17 / $229.09	Professional		$79.43	$204.17	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78