Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.55 / $418.20 / $1,247.29	Facility		$164.55	$418.20	$1,247.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.80 / $154.88 / $167.99	Professional		$119.80	$154.88	$167.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.78 / $281.97 / $402.91	Facility		$100.78	$281.97	$402.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $27.29 / $43.00	Professional		$25.23	$27.29	$43.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $296.60 / $296.60	Facility		$85.00	$296.60	$296.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,006.55 / $1,006.55 / $1,006.55	Professional		$1,006.55	$1,006.55	$1,006.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.74 / $66.58 / $328.37	Facility		$33.74	$66.58	$328.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.85 / $31.85 / $33.02	Professional		$31.85	$31.85	$33.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.08 / $167.42 / $209.28	Professional		$104.08	$167.42	$209.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.41 / $220.48 / $420.86	Facility		$41.41	$220.48	$420.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $27.46 / $43.00	Professional		$25.23	$27.46	$43.00
United Facility/Professional Professional Modifier Low / Median / High Price $127.17 / $163.44 / $250.82	Professional		$127.17	$163.44	$250.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.02 / $46.97 / $149.08	Professional		$33.02	$46.97	$149.08