Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.25 / $63.45 / $164.71	Facility		$22.25	$63.45	$164.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.43 / $25.00 / $36.04	Professional		$20.43	$25.00	$36.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.46 / $64.59 / $126.86	Facility		$24.46	$64.59	$126.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.27 / $23.27 / $23.27	Professional		$23.27	$23.27	$23.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $61.06 / $149.33	Facility		$12.58	$61.06	$149.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $18.16 / $41.42	Professional		$11.02	$18.16	$41.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $48.83 / $139.41 / $150.53	Facility		$48.83	$139.41	$150.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $252.68 / $252.68 / $252.68	Professional		$252.68	$252.68	$252.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.34 / $27.16 / $45.84	Facility		$8.34	$27.16	$45.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.61 / $21.61 / $23.23	Professional		$21.61	$21.61	$23.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.60 / $34.60 / $92.00	Professional		$34.60	$34.60	$92.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $27.95 / $62.10	Facility		$8.61	$27.95	$62.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $18.16 / $47.07	Professional		$11.00	$18.16	$47.07
United Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $18.84 / $19.85	Facility		$18.39	$18.84	$19.85
United Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $15.31 / $21.87	Professional		$9.86	$15.31	$21.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.83 / $14.83 / $20.02	Professional		$14.83	$14.83	$20.02