Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.64 / $84.00 / $85.49	Facility		$79.64	$84.00	$85.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.46 / $79.64 / $91.09	Professional		$54.46	$79.64	$91.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.17 / $168.65 / $315.05	Facility		$73.17	$168.65	$315.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.04 / $68.04 / $68.04	Professional		$68.04	$68.04	$68.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.70 / $94.70 / $94.70	Facility		$94.70	$94.70	$94.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.01 / $396.01 / $396.01	Professional		$396.01	$396.01	$396.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $176.08 / $384.51 / $440.09	Facility		$176.08	$384.51	$440.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $515.54 / $515.54 / $709.35	Professional		$515.54	$515.54	$709.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.31 / $85.68 / $175.10	Facility		$66.31	$85.68	$175.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.05 / $79.05 / $79.05	Professional		$79.05	$79.05	$79.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $111.70 / $111.70 / $111.70	Professional		$111.70	$111.70	$111.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.69 / $86.27 / $192.35	Facility		$67.69	$86.27	$192.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.05 / $109.63 / $396.01	Professional		$79.05	$109.63	$396.01
United Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $2,205.00 / $9,000.00	Facility		$350.00	$2,205.00	$9,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.48 / $91.33 / $147.87	Professional		$69.48	$91.33	$147.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $84.85 / $118.79	Professional		$84.85	$84.85	$118.79