Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.83 / $611.59 / $1,931.61	Facility		$254.83	$611.59	$1,931.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.10 / $242.05 / $276.30	Professional		$175.10	$242.05	$276.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $874.37 / $2,096.86 / $3,456.99	Facility		$874.37	$2,096.86	$3,456.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $755.72 / $1,002.57 / $3,559.00	Facility		$755.72	$1,002.57	$3,559.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.06 / $1,202.06 / $1,202.06	Professional		$1,202.06	$1,202.06	$1,202.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $593.41 / $3,961.55 / $3,961.55	Facility		$593.41	$3,961.55	$3,961.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,857.52 / $1,910.32 / $2,153.92	Professional		$1,857.52	$1,910.32	$2,153.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $211.84 / $261.17 / $512.23	Facility		$211.84	$261.17	$512.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $239.95 / $239.95 / $239.95	Professional		$239.95	$239.95	$239.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $338.90 / $338.90 / $338.90	Professional		$338.90	$338.90	$338.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $220.44 / $262.79 / $723.31	Facility		$220.44	$262.79	$723.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $239.95 / $331.14 / $1,202.06	Professional		$239.95	$331.14	$1,202.06
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,045.00 / $4,480.00	Facility		$597.00	$2,045.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $210.53 / $282.32 / $448.48	Professional		$210.53	$282.32	$448.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $803.81 / $803.81 / $1,085.14	Professional		$803.81	$803.81	$1,085.14