Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.59 / $65.27 / $187.96	Facility		$22.59	$65.27	$187.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.56 / $25.00 / $36.04	Professional		$20.56	$25.00	$36.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.10 / $94.76 / $175.17	Facility		$35.10	$94.76	$175.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.89 / $29.89 / $29.89	Professional		$29.89	$29.89	$29.89
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 $10.71 / $18.59 / $41.42	Professional		$10.71	$18.59	$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 $20.50 / $27.53 / $46.85	Facility		$20.50	$27.53	$46.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.21 / $23.23 / $32.20	Professional		$19.21	$23.23	$32.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.60 / $34.60 / $156.00	Professional		$34.60	$34.60	$156.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.67 / $28.33 / $62.61	Facility		$19.67	$28.33	$62.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $18.59 / $45.79	Professional		$10.71	$18.59	$45.79
United Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $15.29 / $21.87	Professional		$9.27	$15.29	$21.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.83 / $14.83 / $20.02	Professional		$14.83	$14.83	$20.02