Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.11 / $61.27 / $62.42	Facility		$58.11	$61.27	$62.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $60.43 / $74.03	Professional		$42.13	$60.43	$74.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.88 / $104.42 / $191.76	Facility		$39.88	$104.42	$191.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $40.94 / $40.94	Professional		$34.79	$40.94	$40.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.01 / $37.74 / $43.04	Facility		$33.01	$37.74	$43.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $170.83 / $336.07 / $384.94	Facility		$170.83	$336.07	$384.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $534.55 / $550.08 / $620.54	Professional		$534.55	$550.08	$620.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.11 / $68.17 / $123.19	Facility		$58.11	$68.17	$123.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.97 / $61.97 / $69.06	Professional		$61.97	$61.97	$69.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.74 / $47.26 / $61.55	Professional		$42.74	$47.26	$61.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.18 / $67.41 / $123.19	Facility		$53.18	$67.41	$123.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.06 / $69.06 / $69.06	Professional		$69.06	$69.06	$69.06
United Facility/Professional Professional Modifier Low / Median / High Price $43.30 / $56.39 / $89.91	Professional		$43.30	$56.39	$89.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.97 / $64.37 / $87.45	Professional		$61.97	$64.37	$87.45