Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.23 / $47.92 / $61.56	Facility		$44.23	$47.92	$61.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.69 / $97.10 / $465.20	Professional		$62.69	$97.10	$465.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $266.26 / $492.26 / $1,052.64	Facility		$266.26	$492.26	$1,052.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.25 / $64.20 / $88.94	Professional		$46.25	$64.20	$88.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.01 / $401.01 / $401.01	Professional		$401.01	$401.01	$401.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $357.64 / $626.00 / $3,408.68	Facility		$357.64	$626.00	$3,408.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,858.90 / $2,708.00 / $2,708.00	Professional		$1,858.90	$2,708.00	$2,708.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.66 / $108.99 / $497.25	Facility		$48.66	$108.99	$497.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.30 / $51.30 / $51.30	Professional		$51.30	$51.30	$51.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $476.70 / $476.70 / $476.70	Professional		$476.70	$476.70	$476.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.48 / $144.74 / $512.04	Facility		$56.48	$144.74	$512.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.11 / $96.90 / $162.74	Professional		$53.11	$96.90	$162.74
United Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $72.06 / $256.81	Professional		$47.00	$72.06	$256.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.38 / $51.30 / $73.02	Professional		$46.38	$51.30	$73.02