Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.59 / $63.45 / $187.96	Facility		$22.59	$63.45	$187.96
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 $143.50 / $397.93 / $741.89	Facility		$143.50	$397.93	$741.89
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 $11.22 / $61.64 / $149.33	Facility		$11.22	$61.64	$149.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $18.16 / $41.42	Professional		$10.29	$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 $221.32 / $221.32 / $221.32	Professional		$221.32	$221.32	$221.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.65 / $26.21 / $46.85	Facility		$10.65	$26.21	$46.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.21 / $19.21 / $23.23	Professional		$19.21	$19.21	$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 $10.88 / $27.60 / $62.61	Facility		$10.88	$27.60	$62.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $18.16 / $47.07	Professional		$10.29	$18.16	$47.07
United Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $15.31 / $21.87	Professional		$9.27	$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