Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.65 / $30.91 / $100.64	Facility		$12.65	$30.91	$100.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $14.18 / $20.50	Professional		$11.64	$14.18	$20.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.12 / $40.99 / $72.76	Facility		$15.12	$40.99	$72.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.41 / $9.41 / $9.41	Professional		$9.41	$9.41	$9.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.42 / $33.02 / $85.50	Facility		$5.42	$33.02	$85.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.17 / $10.33 / $22.78	Professional		$5.17	$10.33	$22.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $27.64 / $127.61 / $127.61	Facility		$27.64	$127.61	$127.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $125.84 / $125.84 / $125.84	Professional		$125.84	$125.84	$125.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.22 / $14.61 / $26.18	Facility		$10.22	$14.61	$26.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.26 / $9.26 / $13.14	Professional		$9.26	$9.26	$13.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $19.60 / $22.40	Professional		$19.60	$19.60	$22.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $14.91 / $35.54	Facility		$9.63	$14.91	$35.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.54 / $10.33 / $24.61	Professional		$5.54	$10.33	$24.61
United Facility/Professional Professional Modifier Low / Median / High Price $4.48 / $8.64 / $12.34	Professional		$4.48	$8.64	$12.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.35 / $14.93 / $20.16	Professional		$8.35	$14.93	$20.16