Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.04 / $59.10 / $187.98	Facility		$21.04	$59.10	$187.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $23.23 / $33.57	Professional		$19.03	$23.23	$33.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.32 / $388.88 / $741.89	Facility		$136.32	$388.88	$741.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.04 / $13.04 / $13.04	Professional		$13.04	$13.04	$13.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.61 / $56.01 / $140.01	Facility		$11.61	$56.01	$140.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $17.30 / $37.31	Professional		$10.50	$17.30	$37.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $45.63 / $130.25 / $140.10	Facility		$45.63	$130.25	$140.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $206.17 / $206.17 / $206.17	Professional		$206.17	$206.17	$206.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.47 / $26.38 / $43.93	Facility		$19.47	$26.38	$43.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $20.23 / $21.70	Professional		$20.23	$20.23	$21.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $32.29 / $32.29	Professional		$32.29	$32.29	$32.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.47 / $27.57 / $65.29	Facility		$19.47	$27.57	$65.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $17.30 / $40.79	Professional		$10.47	$17.30	$40.79
United Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $14.25 / $20.35	Professional		$9.15	$14.25	$20.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $14.93 / $20.16	Professional		$13.82	$14.93	$20.16