Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $56.32 / $231.44	Facility		$20.23	$56.32	$231.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $20.93 / $30.04	Professional		$17.14	$20.93	$30.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.76 / $92.27 / $172.83	Facility		$33.76	$92.27	$172.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $16.14 / $16.14	Professional		$16.14	$16.14	$16.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.61 / $51.10 / $126.82	Facility		$11.61	$51.10	$126.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $15.46 / $35.74	Professional		$9.77	$15.46	$35.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $40.49 / $115.57 / $125.21	Facility		$40.49	$115.57	$125.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $184.46 / $184.46 / $184.46	Professional		$184.46	$184.46	$184.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.01 / $26.25 / $41.60	Facility		$18.01	$26.25	$41.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.26 / $19.26 / $20.23	Professional		$19.26	$19.26	$20.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.70 / $28.70 / $175.20	Professional		$28.70	$28.70	$175.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.11 / $26.95 / $53.12	Facility		$18.11	$26.95	$53.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.84 / $15.46 / $39.35	Professional		$9.84	$15.46	$39.35
United Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $12.73 / $18.19	Professional		$8.42	$12.73	$18.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $14.93 / $20.16	Professional		$12.38	$14.93	$20.16