Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.35 / $42.29 / $53.81	Facility		$35.35	$42.29	$53.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.14 / $47.00 / $109.34	Professional		$37.14	$47.00	$109.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.80 / $55.80 / $55.80	Facility		$55.80	$55.80	$55.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.34 / $57.76 / $88.19	Professional		$44.34	$57.76	$88.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $104.11 / $227.07 / $260.11	Facility		$104.11	$227.07	$260.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $293.12 / $293.12 / $418.50	Professional		$293.12	$293.12	$418.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.59 / $52.42 / $106.39	Facility		$41.59	$52.42	$106.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.69 / $46.69 / $46.69	Professional		$46.69	$46.69	$46.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $66.00	Professional		$66.00	$66.00	$66.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.02 / $52.65 / $115.22	Facility		$42.02	$52.65	$115.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.36 / $58.36 / $85.27	Professional		$45.36	$58.36	$85.27
United Facility/Professional Professional Modifier Low / Median / High Price $38.34 / $52.01 / $80.28	Professional		$38.34	$52.01	$80.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $57.00 / $76.95	Professional		$57.00	$57.00	$76.95