Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.07 / $730.20 / $2,030.37	Facility		$250.07	$730.20	$2,030.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.40 / $275.07 / $354.26	Professional		$233.40	$275.07	$354.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.26 / $416.78 / $416.78	Professional		$354.26	$416.78	$416.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.30 / $978.17 / $2,209.51	Facility		$274.30	$978.17	$2,209.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.39 / $507.39 / $607.91	Professional		$507.39	$507.39	$607.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $666.85 / $1,979.71 / $1,979.71	Facility		$666.85	$1,979.71	$1,979.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,075.56 / $2,075.56 / $3,125.85	Professional		$2,075.56	$2,075.56	$3,125.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $250.07 / $416.78 / $621.00	Facility		$250.07	$416.78	$621.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $520.98	Professional		$416.78	$416.78	$520.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $375.10 / $520.98 / $937.75	Professional		$375.10	$520.98	$937.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $250.07 / $416.78 / $1,258.61	Facility		$250.07	$416.78	$1,258.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $393.71 / $458.46 / $729.37	Professional		$393.71	$458.46	$729.37
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $175.05 / $266.74	Professional		$175.05	$175.05	$266.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $17.32 / $416.78	Professional		$17.32	$17.32	$416.78