Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,511.89 / $7,585.78	Facility		$630.96	$2,511.89	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $57.54 / $70.79	Professional		$19.05	$57.54	$70.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $35.48 / $40.74	Professional		$32.36	$35.48	$40.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $741.31	Professional		$588.84	$741.31	$741.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $870.96 / $4,677.35	Facility		$58.88	$870.96	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $57.54 / $524.81	Professional		$20.89	$57.54	$524.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $69.18 / $138.04	Facility		$21.38	$69.18	$138.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $74.13 / $120.23	Professional		$35.48	$74.13	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,047.13 / $2,691.53	Facility		$154.88	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.39 / $39.81	Professional		$16.98	$22.39	$39.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82