Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.26 / $65.86 / $72.45	Facility		$62.26	$65.86	$72.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.78 / $62.26 / $69.97	Professional		$49.78	$62.26	$69.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.45 / $64.45 / $64.45	Professional		$64.45	$64.45	$64.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.19 / $372.16 / $597.66	Facility		$152.19	$372.16	$597.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.84 / $23.04 / $27.10	Professional		$7.84	$23.04	$27.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.95 / $71.95 / $71.95	Facility		$71.95	$71.95	$71.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.91 / $300.91 / $300.91	Professional		$300.91	$300.91	$300.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $137.26 / $292.17 / $342.62	Facility		$137.26	$292.17	$342.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $334.80 / $350.78 / $539.92	Professional		$334.80	$350.78	$539.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.86 / $70.88 / $176.72	Facility		$58.86	$70.88	$176.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $64.31 / $64.31	Professional		$64.31	$64.31	$64.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $86.00 / $86.00	Professional		$86.00	$86.00	$86.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.17 / $71.64 / $177.88	Facility		$58.17	$71.64	$177.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $85.61 / $116.69	Professional		$58.73	$85.61	$116.69
United Facility/Professional Professional Modifier Low / Median / High Price $55.02 / $72.18 / $108.84	Professional		$55.02	$72.18	$108.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $102.54	Professional		$56.42	$56.42	$102.54