Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $537.03 / $676.08	Professional		$446.68	$537.03	$676.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $630.96 / $1,047.13	Professional		$478.63	$630.96	$1,047.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,677.35 / $4,677.35	Professional		$3,890.45	$4,677.35	$4,677.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $616.60 / $1,122.02	Facility		$467.74	$616.60	$1,122.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $524.81 / $660.69	Professional		$457.09	$524.81	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $302.00	Professional		$263.03	$263.03	$302.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $489.78	Professional		$91.20	$114.82	$489.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $616.60 / $1,071.52	Facility		$467.74	$616.60	$1,071.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $616.60 / $1,000.00	Professional		$467.74	$616.60	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $436.52 / $724.44	Professional		$309.03	$436.52	$724.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $331.13 / $416.87	Professional		$173.78	$331.13	$416.87