Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $2,041.74	Professional		$1,122.02	$1,412.54	$2,041.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,344.23 / $2,344.23	Facility		$1,584.89	$2,344.23	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,949.84 / $2,344.23	Professional		$1,148.15	$1,949.84	$2,344.23
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $4,265.80	Facility		$1,737.80	$2,187.76	$4,265.80
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $4,265.80	Professional		$1,737.80	$2,187.76	$4,265.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,089.30 / $2,818.38	Facility		$1,122.02	$2,089.30	$2,818.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,778.28 / $2,344.23	Professional		$79.43	$1,778.28	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,412.54 / $1,479.11	Facility		$1,230.27	$1,412.54	$1,479.11
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $933.25 / $1,445.44	Professional		$851.14	$933.25	$1,445.44