Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.35 / $74.02 / $190.68	Facility		$26.35	$74.02	$190.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.83 / $29.30 / $42.05	Professional		$23.83	$29.30	$42.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.84 / $388.17 / $741.89	Facility		$124.84	$388.17	$741.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.35 / $70.31 / $174.25	Facility		$13.35	$70.31	$174.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $21.19 / $46.40	Professional		$12.27	$21.19	$46.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $57.19 / $163.26 / $175.88	Facility		$57.19	$163.26	$175.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $258.24 / $258.24 / $258.24	Professional		$258.24	$258.24	$258.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.98 / $30.53 / $52.13	Facility		$14.98	$30.53	$52.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.98 / $22.98 / $27.21	Professional		$22.98	$22.98	$27.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.50 / $40.50 / $96.00	Professional		$40.50	$40.50	$96.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.64 / $31.69 / $72.13	Facility		$15.64	$31.69	$72.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $21.19 / $51.11	Professional		$12.27	$21.19	$51.11
United Facility/Professional Facility Modifier Low / Median / High Price $260.63 / $291.31 / $357.45	Facility		$260.63	$291.31	$357.45
United Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $17.89 / $25.55	Professional		$11.04	$17.89	$25.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.28 / $17.28 / $23.33	Professional		$17.28	$17.28	$23.33