Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $977.24 / $13,489.63	Facility		$97.72	$977.24	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $100.00 / $154.88	Professional		$89.13	$100.00	$154.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $3,311.31 / $8,317.64	Facility		$251.19	$3,311.31	$8,317.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $158.49	Professional		$91.20	$114.82	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $134.90 / $218.78	Professional		$102.33	$134.90	$218.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $1,621.81	Professional		$831.76	$831.76	$1,621.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $125.89 / $234.42	Facility		$89.13	$125.89	$234.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $114.82 / $154.88	Professional		$93.33	$114.82	$154.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $208.93 / $251.19	Professional		$190.55	$208.93	$251.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $125.89 / $234.42	Facility		$89.13	$125.89	$234.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $138.04 / $213.80	Professional		$102.33	$138.04	$213.80
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 $81.28 / $112.20 / $173.78	Professional		$81.28	$112.20	$173.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $89.13 / $89.13	Professional		$85.11	$89.13	$89.13