Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.87 / $27.33 / $254.27	Facility		$26.87	$27.33	$254.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.17 / $27.66 / $40.84	Professional		$26.17	$27.66	$40.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $345.36 / $620.86 / $1,385.30	Facility		$345.36	$620.86	$1,385.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $31.48 / $45.60	Professional		$25.23	$31.48	$45.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.57 / $39.64 / $73.48	Professional		$29.57	$39.64	$73.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,300.00	Facility		$55.00	$55.00	$1,300.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $802.60 / $802.60 / $802.60	Professional		$802.60	$802.60	$802.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.90 / $39.53 / $96.77	Facility		$26.90	$39.53	$96.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.54 / $41.08 / $48.33	Professional		$29.54	$41.08	$48.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $36.00 / $36.00	Professional		$36.00	$36.00	$36.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.04 / $39.95 / $96.77	Facility		$27.04	$39.95	$96.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.74 / $40.07 / $74.58	Professional		$29.74	$40.07	$74.58
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $32.95 / $50.92	Professional		$23.96	$32.95	$50.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.92 / $26.35 / $36.32	Professional		$22.92	$26.35	$36.32