Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $208.93 / $269.15	Professional		$151.36	$208.93	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $302.00 / $302.00	Facility		$181.97	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $245.47 / $302.00	Professional		$131.83	$245.47	$302.00
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $281.84 / $549.54	Facility		$223.87	$281.84	$549.54
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $281.84 / $549.54	Professional		$223.87	$281.84	$549.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $269.15 / $389.05	Facility		$162.18	$269.15	$389.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $229.09 / $302.00	Professional		$79.43	$229.09	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $165.96 / $181.97	Facility		$144.54	$165.96	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $144.54 / $165.96	Professional		$131.83	$144.54	$165.96