Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.94 / $200.93 / $255.64	Facility		$167.94	$200.93	$255.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $223.27 / $267.33	Professional		$176.45	$223.27	$267.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.48 / $264.48 / $264.48	Facility		$264.48	$264.48	$264.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.91 / $273.94 / $418.39	Professional		$209.91	$273.94	$418.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $492.73 / $1,076.31 / $1,231.20	Facility		$492.73	$1,076.31	$1,231.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,392.79 / $1,392.79 / $1,986.53	Professional		$1,392.79	$1,392.79	$1,986.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.15 / $246.19 / $452.09	Facility		$199.15	$246.19	$452.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $221.28 / $221.28 / $221.28	Professional		$221.28	$221.28	$221.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $312.50 / $312.50 / $312.50	Professional		$312.50	$312.50	$312.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $200.93 / $248.30 / $466.86	Facility		$200.93	$248.30	$466.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $215.55 / $276.60 / $405.10	Professional		$215.55	$276.60	$405.10
United Facility/Professional Professional Modifier Low / Median / High Price $179.01 / $246.14 / $380.73	Professional		$179.01	$246.14	$380.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $145.03 / $145.03 / $195.79	Professional		$145.03	$145.03	$195.79