Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $97.72	Professional		$77.62	$77.62	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $95.50 / $95.50	Facility		$77.62	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $109.65	Professional		$77.62	$91.20	$109.65
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $83.18 / $151.36	Facility		$79.43	$83.18	$151.36
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $83.18 / $151.36	Professional		$79.43	$83.18	$151.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $95.50 / $181.97	Facility		$77.62	$95.50	$181.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $95.50 / $173.78	Professional		$79.43	$95.50	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $125.89 / $125.89	Professional		$77.62	$125.89	$125.89