Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.06 / $43.47 / $134.57	Facility		$15.06	$43.47	$134.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $16.67 / $24.27	Professional		$13.68	$16.67	$24.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.23 / $736.87 / $1,465.23	Facility		$218.23	$736.87	$1,465.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $9.52 / $9.52	Professional		$8.09	$9.52	$9.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $41.37 / $101.16	Facility		$8.32	$41.37	$101.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.51 / $12.33 / $26.78	Professional		$7.51	$12.33	$26.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $32.77 / $93.58 / $99.86	Facility		$32.77	$93.58	$99.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $147.55 / $147.55 / $147.55	Professional		$147.55	$147.55	$147.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.93 / $18.57 / $31.44	Facility		$13.93	$18.57	$31.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $14.40 / $15.59	Professional		$14.40	$14.40	$15.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.20 / $23.20 / $50.40	Professional		$23.20	$23.20	$50.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.78 / $19.16 / $41.73	Facility		$13.78	$19.16	$41.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.45 / $12.33 / $29.02	Professional		$7.45	$12.33	$29.02
United Facility/Professional Facility Modifier Low / Median / High Price $6.22 / $220.81 / $356.94	Facility		$6.22	$220.81	$356.94
United Facility/Professional Professional Modifier Low / Median / High Price $6.58 / $10.16 / $14.51	Professional		$6.58	$10.16	$14.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $9.94 / $13.42	Professional		$9.94	$9.94	$13.42