Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $134.90	Professional		$104.71	$104.71	$134.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $870.96 / $95,499.26	Facility		$302.00	$870.96	$95,499.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $933.25	Facility		$169.82	$169.82	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $169.82	Professional		$104.71	$104.71	$169.82
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $123.03 / $549.54	Facility		$114.82	$123.03	$549.54
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $123.03 / $549.54	Professional		$114.82	$123.03	$549.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $165.96 / $645.65	Facility		$104.71	$165.96	$645.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $112.20 / $169.82	Professional		$72.44	$112.20	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $109.65	Professional		$104.71	$104.71	$109.65