Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.54 / $52.88 / $137.27	Facility		$18.54	$52.88	$137.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $21.02 / $30.04	Professional		$17.14	$21.02	$30.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.77 / $96.28 / $172.93	Facility		$35.77	$96.28	$172.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.04 / $19.04 / $19.04	Professional		$19.04	$19.04	$19.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $50.04 / $126.82	Facility		$8.32	$50.04	$126.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $15.46 / $34.45	Professional		$8.46	$15.46	$34.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $40.49 / $124.96 / $125.21	Facility		$40.49	$124.96	$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 $15.09 / $21.80 / $38.19	Facility		$15.09	$21.80	$38.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $14.40 / $19.26	Professional		$14.40	$14.40	$19.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.70 / $28.70 / $119.20	Professional		$28.70	$28.70	$119.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.36 / $22.64 / $51.70	Facility		$14.36	$22.64	$51.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $15.13 / $36.60	Professional		$8.93	$15.13	$36.60
United Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $12.73 / $18.19	Professional		$6.88	$12.73	$18.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $12.38 / $16.71	Professional		$12.38	$12.38	$16.71