Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $154.88 / $724.44	Facility		$100.00	$154.88	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $154.88	Professional		$125.89	$125.89	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $281.84 / $562.34	Facility		$123.03	$281.84	$562.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $147.91 / $147.91	Facility		$138.04	$147.91	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $154.88 / $478.63	Facility		$102.33	$154.88	$478.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $134.90 / $154.88	Professional		$125.89	$134.90	$154.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $147.91 / $223.87	Facility		$109.65	$147.91	$223.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $79.43 / $112.20	Professional		$54.95	$79.43	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $165.96 / $173.78	Professional		$141.25	$165.96	$173.78