Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $59.10 / $153.41	Facility		$20.72	$59.10	$153.41
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 $129.15 / $388.17 / $741.89	Facility		$129.15	$388.17	$741.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $12.17 / $12.17	Professional		$12.17	$12.17	$12.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.45 / $57.59 / $140.01	Facility		$10.45	$57.59	$140.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $16.91 / $37.50	Professional		$9.57	$16.91	$37.50
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 $13.49 / $24.12 / $41.28	Facility		$13.49	$24.12	$41.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $17.82 / $21.70	Professional		$17.82	$17.82	$21.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $32.29 / $437.60	Professional		$32.29	$32.29	$437.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.65 / $25.12 / $57.59	Facility		$13.65	$25.12	$57.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $16.91 / $42.94	Professional		$9.57	$16.91	$42.94
United Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $14.25 / $20.35	Professional		$8.64	$14.25	$20.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $24.87 / $33.57	Professional		$13.82	$24.87	$33.57