Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $38.90 / $38.90	Facility		$25.12	$38.90	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.88 / $43.65	Professional		$23.99	$33.88	$43.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $371.54 / $371.54	Professional		$354.81	$371.54	$371.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $47.86 / $85.11	Facility		$27.54	$47.86	$85.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.11 / $41.69	Professional		$23.99	$33.11	$41.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $239.88	Professional		$128.82	$181.97	$239.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $50.12 / $89.13	Facility		$27.54	$50.12	$89.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.18 / $51.29	Professional		$23.99	$28.18	$51.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $46.77	Professional		$37.15	$37.15	$46.77