Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.99 / $224.00 / $697.28	Facility		$91.99	$224.00	$697.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.84 / $87.67 / $93.65	Professional		$59.84	$87.67	$93.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.93 / $312.92 / $586.58	Facility		$119.93	$312.92	$586.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.66 / $39.88 / $39.88	Professional		$23.66	$39.88	$39.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.11 / $114.28 / $148.76	Facility		$111.11	$114.28	$148.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $171.84 / $366.49 / $406.65	Facility		$171.84	$366.49	$406.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $564.65 / $564.65 / $692.85	Professional		$564.65	$564.65	$692.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.98 / $72.63 / $128.79	Facility		$43.98	$72.63	$128.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.98 / $43.98 / $93.68	Professional		$43.98	$43.98	$93.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $733.23 / $843.57 / $1,051.89	Professional		$733.23	$843.57	$1,051.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.05 / $87.23 / $131.55	Facility		$46.05	$87.23	$131.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.68 / $93.68 / $119.59	Professional		$93.68	$93.68	$119.59
United Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $95.28 / $142.56	Professional		$71.45	$95.28	$142.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43.98 / $61.51 / $61.78	Professional		$43.98	$61.51	$61.78