Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.37 / $48.95 / $147.41	Facility		$20.37	$48.95	$147.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $22.50 / $32.51	Professional		$18.34	$22.50	$32.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.38 / $266.02 / $563.69	Facility		$82.38	$266.02	$563.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $55.15 / $135.37	Facility		$11.22	$55.15	$135.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $16.38 / $37.32	Professional		$9.93	$16.38	$37.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $43.69 / $124.74 / $135.63	Facility		$43.69	$124.74	$135.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $199.62 / $199.62 / $199.62	Professional		$199.62	$199.62	$199.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.65 / $24.50 / $41.91	Facility		$10.65	$24.50	$41.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.21 / $19.21 / $20.79	Professional		$19.21	$19.21	$20.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $92.00	Professional		$30.90	$30.90	$92.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.88 / $25.10 / $56.47	Facility		$10.88	$25.10	$56.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $16.38 / $41.26	Professional		$9.93	$16.38	$41.26
United Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $13.78 / $19.70	Professional		$8.86	$13.78	$19.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $13.39 / $18.07	Professional		$13.39	$13.39	$18.07