Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $954.99 / $3,019.95	Facility		$426.58	$954.99	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $501.19 / $724.44	Professional		$398.11	$501.19	$724.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $501.19 / $1,513.56	Facility		$426.58	$501.19	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $977.24	Professional		$812.83	$812.83	$977.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $5,011.87 / $5,011.87	Professional		$3,311.31	$5,011.87	$5,011.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $660.69 / $1,230.27	Facility		$501.19	$660.69	$1,230.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $524.81 / $758.58	Professional		$398.11	$524.81	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $724.44 / $1,412.54	Professional		$660.69	$724.44	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $630.96 / $1,202.26	Facility		$398.11	$630.96	$1,202.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $691.83 / $1,230.27	Professional		$630.96	$691.83	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $457.09	Professional		$275.42	$275.42	$457.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $1,949.84	Professional		$660.69	$660.69	$1,949.84