Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.40 / $267.29 / $340.06	Facility		$223.40	$267.29	$340.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $287.70 / $356.79	Professional		$127.50	$287.70	$356.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $487.42 / $1,286.86 / $2,496.04	Facility		$487.42	$1,286.86	$2,496.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.30 / $61.30 / $102.17	Professional		$61.30	$61.30	$102.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.90 / $462.63 / $818.00	Facility		$181.90	$462.63	$818.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.82 / $363.26 / $556.46	Professional		$275.82	$363.26	$556.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $658.49 / $1,438.12 / $1,645.73	Facility		$658.49	$1,438.12	$1,645.73
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,852.75 / $1,852.75 / $2,653.43	Professional		$1,852.75	$1,852.75	$2,653.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.60 / $291.95 / $562.42	Facility		$165.60	$291.95	$562.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.70 / $177.70 / $177.70	Professional		$177.70	$177.70	$177.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.70 / $119.24 / $205.73	Professional		$77.70	$119.24	$205.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.60 / $296.66 / $566.65	Facility		$165.60	$296.66	$566.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $281.83 / $364.08 / $529.70	Professional		$281.83	$364.08	$529.70
United Facility/Professional Professional Modifier Low / Median / High Price $231.72 / $305.89 / $468.98	Professional		$231.72	$305.89	$468.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $250.00 / $337.50	Professional		$250.00	$250.00	$337.50