Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.84 / $159.26 / $413.41	Facility		$55.84	$159.26	$413.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.27 / $62.69 / $91.66	Professional		$51.27	$62.69	$91.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $280.06 / $753.87 / $1,465.23	Facility		$280.06	$753.87	$1,465.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.91 / $66.91 / $66.91	Professional		$66.91	$66.91	$66.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.34 / $146.59 / $374.91	Facility		$31.34	$146.59	$374.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.34 / $46.57 / $109.81	Professional		$28.34	$46.57	$109.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $122.09 / $348.56 / $377.10	Facility		$122.09	$348.56	$377.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $555.50 / $555.50 / $555.50	Professional		$555.50	$555.50	$555.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.90 / $79.72 / $148.90	Facility		$53.90	$79.72	$148.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.85 / $53.85 / $58.08	Professional		$53.85	$53.85	$58.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $86.40 / $86.40 / $185.60	Professional		$86.40	$86.40	$185.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.98 / $81.81 / $177.94	Facility		$52.98	$81.81	$177.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.34 / $46.57 / $121.35	Professional		$28.34	$46.57	$121.35
United Facility/Professional Professional Modifier Low / Median / High Price $24.73 / $38.35 / $54.79	Professional		$24.73	$38.35	$54.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.01 / $37.01 / $49.96	Professional		$37.01	$37.01	$49.96