Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.03 / $59.22 / $95.73	Professional		$26.03	$59.22	$95.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.71 / $38.20 / $135.77	Facility		$22.71	$38.20	$135.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.72 / $61.43 / $69.33	Professional		$23.72	$61.43	$69.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.80 / $71.43 / $125.83	Professional		$31.80	$71.43	$125.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $151.40 / $164.26 / $164.26	Facility		$151.40	$164.26	$164.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $318.93 / $564.59 / $714.83	Professional		$318.93	$564.59	$714.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.60 / $67.93 / $113.58	Facility		$30.60	$67.93	$113.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $91.44 / $133.01	Professional		$37.20	$91.44	$133.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.78 / $75.78 / $85.76	Professional		$31.78	$75.78	$85.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.37 / $66.92 / $113.58	Facility		$30.37	$66.92	$113.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.14 / $73.81 / $131.41	Professional		$32.14	$73.81	$131.41
United Facility/Professional Professional Modifier Low / Median / High Price $59.76 / $74.59 / $105.24	Professional		$59.76	$74.59	$105.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.95 / $79.77 / $112.90	Professional		$70.95	$79.77	$112.90