Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.91 / $25.70	Professional		$15.85	$22.91	$25.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $117.49 / $117.49	Professional		$40.74	$117.49	$117.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $213.80	Professional		$154.88	$213.80	$213.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $27.54 / $48.98	Facility		$20.89	$27.54	$48.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $22.91 / $26.92	Professional		$15.14	$22.91	$26.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $257.04 / $309.03	Professional		$229.09	$257.04	$309.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $26.92 / $47.86	Facility		$19.95	$26.92	$47.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $56.23 / $117.49	Professional		$24.55	$56.23	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,454.71 / $10,232.93	Facility		$436.52	$2,454.71	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $27.54 / $43.65	Professional		$20.89	$27.54	$43.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $35.48	Professional		$28.18	$28.18	$35.48