Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.84 / $28.74 / $31.04	Facility		$21.84	$28.74	$31.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.08 / $28.74 / $37.17	Professional		$21.08	$28.74	$37.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.18 / $47.18 / $47.18	Facility		$47.18	$47.18	$47.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.44 / $32.44 / $32.44	Professional		$32.44	$32.44	$32.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $67.64 / $188.32 / $188.32	Facility		$67.64	$188.32	$188.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $199.29 / $199.29 / $301.95	Professional		$199.29	$199.29	$301.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.36 / $40.26 / $60.93	Facility		$28.36	$40.26	$60.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $37.63 / $40.26	Professional		$34.22	$37.63	$40.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.26 / $41.07 / $79.30	Professional		$40.26	$41.07	$79.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.74 / $40.26 / $61.73	Facility		$28.74	$40.26	$61.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.44 / $32.44 / $32.44	Professional		$32.44	$32.44	$32.44
United Facility/Professional Professional Modifier Low / Median / High Price $17.34 / $21.15 / $34.68	Professional		$17.34	$21.15	$34.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.08 / $40.26 / $54.35	Professional		$40.08	$40.26	$54.35