Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.87 / $36.64 / $40.57	Facility		$24.87	$36.64	$40.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.85 / $34.11 / $42.74	Professional		$23.85	$34.11	$42.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.50 / $14.50 / $14.50	Professional		$14.50	$14.50	$14.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.29 / $118.29 / $118.29	Facility		$118.29	$118.29	$118.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $36.29 / $36.29	Professional		$36.29	$36.29	$36.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $84.83 / $233.65 / $242.16	Facility		$84.83	$233.65	$242.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $344.54 / $358.32 / $373.43	Professional		$344.54	$358.32	$373.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.74 / $50.96 / $85.85	Facility		$28.74	$50.96	$85.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.10 / $52.17 / $86.17	Facility		$30.10	$52.17	$86.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $36.29 / $36.29	Professional		$36.29	$36.29	$36.29
United Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $28.36 / $51.04	Professional		$23.82	$28.36	$51.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $37.50 / $52.50	Professional		$37.50	$37.50	$52.50