Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.93 / $523.72 / $654.91	Facility		$396.93	$523.72	$654.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.24 / $539.44 / $666.47	Professional		$430.24	$539.44	$666.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.25 / $333.25 / $333.25	Professional		$333.25	$333.25	$333.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.92 / $624.92 / $624.92	Facility		$624.92	$624.92	$624.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $476.53 / $621.91 / $1,016.90	Professional		$476.53	$621.91	$1,016.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,164.27 / $2,543.21 / $2,909.61	Facility		$1,164.27	$2,543.21	$2,909.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,895.19 / $3,895.19 / $4,693.43	Professional		$3,895.19	$3,895.19	$4,693.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $432.07 / $577.60 / $1,036.04	Facility		$432.07	$577.60	$1,036.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.27 / $43.81 / $75.95	Professional		$37.27	$43.81	$75.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $432.84 / $577.60 / $1,036.04	Facility		$432.84	$577.60	$1,036.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $479.21 / $623.04 / $987.53	Professional		$479.21	$623.04	$987.53
United Facility/Professional Professional Modifier Low / Median / High Price $303.41 / $420.73 / $687.74	Professional		$303.41	$420.73	$687.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $316.07 / $349.30 / $551.61	Professional		$316.07	$349.30	$551.61