Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $40.74 / $93.33	Professional		$16.98	$40.74	$93.33
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $128.82 / $128.82 / $131.83	Professional	25	$128.82	$128.82	$131.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,565.42 / $64,565.42 / $81,283.05	Facility		$64,565.42	$64,565.42	$81,283.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $58.88 / $69.18	Professional		$28.18	$58.88	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $69.18	Facility		$28.18	$28.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $39.81 / $69.18	Professional		$28.18	$39.81	$69.18
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $57.54 / $79.43	Facility		$30.90	$57.54	$79.43
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $57.54 / $79.43	Professional		$30.90	$57.54	$79.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $38.90 / $74.13	Facility		$17.78	$38.90	$74.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $57.54 / $114.82	Professional		$28.18	$57.54	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $38.90 / $75.86	Professional		$22.39	$38.90	$75.86