Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $776.25 / $1,096.48	Professional		$295.12	$776.25	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,096.48 / $1,202.26	Professional		$1,023.29	$1,096.48	$1,202.26
MountainHealth Co-op Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,445.44	Facility		$1,412.54	$1,412.54	$1,445.44
MountainHealth Co-op Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,445.44	Professional		$1,412.54	$1,412.54	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $707.95 / $1,202.26	Facility		$426.58	$707.95	$1,202.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,096.48 / $1,202.26	Professional		$1,023.29	$1,096.48	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $707.95 / $891.25	Professional		$575.44	$707.95	$891.25