Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $123.03 / $309.03	Facility		$33.11	$123.03	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $97.72 / $123.03	Professional		$85.11	$97.72	$123.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $93.33 / $114.82	Professional		$83.18	$93.33	$114.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $91.20 / $169.82	Facility		$35.48	$91.20	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $162.18 / $263.03	Facility		$97.72	$162.18	$263.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $102.33 / $147.91	Professional		$85.11	$102.33	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $66.07 / $79.43	Professional		$30.20	$66.07	$79.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $134.90 / $309.03	Facility		$95.50	$134.90	$309.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $112.20 / $114.82	Professional		$93.33	$112.20	$114.82