Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.38 / $212.14 / $550.69	Facility		$74.38	$212.14	$550.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.40 / $83.40 / $122.09	Professional		$68.40	$83.40	$122.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $267.57 / $751.04 / $1,465.23	Facility		$267.57	$751.04	$1,465.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.79 / $195.25 / $499.37	Facility		$41.79	$195.25	$499.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $62.03 / $142.04	Professional		$37.72	$62.03	$142.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $162.58 / $464.12 / $502.28	Facility		$162.58	$464.12	$502.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $739.96 / $739.96 / $739.96	Professional		$739.96	$739.96	$739.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.08 / $98.02 / $154.35	Facility		$70.08	$98.02	$154.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $71.68 / $71.68 / $77.34	Professional		$71.68	$71.68	$77.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $115.10 / $115.10 / $185.60	Professional		$115.10	$115.10	$185.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.08 / $100.54 / $207.65	Facility		$70.08	$100.54	$207.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $62.03 / $152.79	Professional		$37.72	$62.03	$152.79
United Facility/Professional Professional Modifier Low / Median / High Price $32.88 / $51.08 / $72.97	Professional		$32.88	$51.08	$72.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $49.39 / $49.39 / $66.68	Professional		$49.39	$49.39	$66.68