Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.14 / $66.59 / $67.76	Facility		$63.14	$66.59	$67.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.17 / $66.59 / $77.59	Professional		$44.17	$66.59	$77.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.18 / $35.18 / $55.65	Professional		$35.18	$35.18	$55.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.01 / $33.49 / $43.04	Facility		$33.01	$33.49	$43.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $575.76 / $693.04 / $755.84	Facility		$575.76	$693.04	$755.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $547.67 / $597.44 / $659.93	Professional		$547.67	$597.44	$659.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.97 / $69.68 / $133.86	Facility		$61.97	$69.68	$133.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.97 / $61.97 / $77.18	Professional		$61.97	$61.97	$77.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $128.72 / $135.38 / $181.06	Professional		$128.72	$135.38	$181.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.21 / $69.68 / $133.86	Facility		$60.21	$69.68	$133.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $118.75 / $139.69	Professional		$74.23	$118.75	$139.69
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.66 / $62.15 / $98.53	Professional		$44.66	$62.15	$98.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.97 / $73.09 / $87.45	Professional		$61.97	$73.09	$87.45