Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $57.54 / $57.54	Facility		$56.23	$57.54	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $52.48 / $72.44	Professional		$38.90	$52.48	$72.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $37.15	Professional		$23.99	$23.99	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $38.02 / $39.81	Facility		$33.11	$38.02	$39.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $74.13 / $114.82	Facility		$44.67	$74.13	$114.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $52.48 / $61.66	Professional		$38.90	$52.48	$61.66
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 $239.88 / $281.84 / $338.84	Professional		$239.88	$281.84	$338.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $56.23 / $117.49	Facility		$38.02	$56.23	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $58.88 / $77.62	Facility		$30.20	$58.88	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $48.98 / $74.13	Professional		$35.48	$48.98	$74.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28