Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $595.38 / $785.57 / $982.38	Facility		$595.38	$785.57	$982.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.36 / $809.38 / $999.67	Professional		$645.36	$809.38	$999.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $443.02 / $443.02 / $443.02	Professional		$443.02	$443.02	$443.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $937.40 / $937.40 / $937.40	Facility		$937.40	$937.40	$937.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $714.95 / $932.89 / $1,525.42	Professional		$714.95	$932.89	$1,525.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,746.56 / $3,814.81 / $4,364.78	Facility		$1,746.56	$3,814.81	$4,364.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,352.44 / $5,352.44 / $7,039.50	Professional		$5,352.44	$5,352.44	$7,039.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $645.36 / $866.24 / $1,503.56	Facility		$645.36	$866.24	$1,503.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $571.60 / $591.00 / $675.10	Professional		$571.60	$591.00	$675.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.36 / $866.24 / $1,546.49	Facility		$645.36	$866.24	$1,546.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $717.67 / $935.21 / $1,481.30	Professional		$717.67	$935.21	$1,481.30
United Facility/Professional Professional Modifier Low / Median / High Price $378.94 / $515.70 / $924.49	Professional		$378.94	$515.70	$924.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $466.62 / $489.95 / $828.88	Professional		$466.62	$489.95	$828.88