Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.61 / $266.02 / $574.49	Facility		$85.61	$266.02	$574.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.34 / $76.47 / $123.81	Professional		$71.34	$76.47	$123.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.98 / $15.98 / $15.98	Professional		$15.98	$15.98	$15.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $105.33 / $2,489.36 / $2,613.82	Facility		$105.33	$2,489.36	$2,613.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $463.54 / $463.54 / $674.48	Professional		$463.54	$463.54	$674.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.57 / $75.79 / $151.24	Facility		$48.57	$75.79	$151.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.22 / $44.22 / $44.22	Professional		$44.22	$44.22	$44.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.93 / $207.83 / $304.08	Professional		$114.93	$207.83	$304.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.57 / $76.47 / $117.63	Facility		$48.57	$76.47	$117.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.22 / $44.57 / $115.86	Professional		$44.22	$44.57	$115.86
United Facility/Professional Professional Modifier Low / Median / High Price $62.27 / $81.84 / $136.08	Professional		$62.27	$81.84	$136.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $90.69 / $101.25	Professional		$75.00	$90.69	$101.25