Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.11 / $676.85 / $683.17	Facility		$637.11	$676.85	$683.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $604.69 / $637.11 / $690.97	Professional		$604.69	$637.11	$690.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.49 / $206.49 / $589.98	Professional		$206.49	$206.49	$589.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $867.90 / $2,427.94 / $3,107.08	Facility		$867.90	$2,427.94	$3,107.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $465.34 / $503.55 / $793.19	Professional		$465.34	$503.55	$793.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,464.88 / $4,354.92 / $4,532.39	Facility		$3,464.88	$4,354.92	$4,532.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,140.28 / $4,140.28 / $5,314.43	Professional		$4,140.28	$4,140.28	$5,314.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $568.17 / $683.17 / $1,350.67	Facility		$568.17	$683.17	$1,350.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $568.17 / $568.17 / $587.54	Professional		$568.17	$568.17	$587.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,213.64 / $1,488.58 / $1,674.82	Professional		$1,213.64	$1,488.58	$1,674.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $621.74 / $976.93 / $2,776.00	Facility		$621.74	$976.93	$2,776.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.09 / $506.90 / $793.19	Professional		$172.09	$506.90	$793.19
United Facility/Professional Professional Modifier Low / Median / High Price $525.17 / $701.74 / $1,031.18	Professional		$525.17	$701.74	$1,031.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $568.17 / $616.36 / $806.87	Professional		$568.17	$616.36	$806.87