Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.40 / $363.12 / $402.02	Facility		$246.40	$363.12	$402.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.30 / $338.07 / $423.51	Professional		$236.30	$338.07	$423.51
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 $487.65 / $487.65 / $487.65	Facility		$487.65	$487.65	$487.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.63 / $359.63 / $359.63	Professional		$359.63	$359.63	$359.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $840.52 / $2,315.16 / $2,399.56	Facility		$840.52	$2,315.16	$2,399.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,418.79 / $3,555.54 / $3,699.98	Professional		$3,418.79	$3,555.54	$3,699.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $285.13 / $504.95 / $850.60	Facility		$285.13	$504.95	$850.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $595.10 / $595.10 / $595.10	Professional		$595.10	$595.10	$595.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $298.27 / $507.21 / $852.28	Facility		$298.27	$507.21	$852.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $359.63 / $359.63 / $359.63	Professional		$359.63	$359.63	$359.63
United Facility/Professional Professional Modifier Low / Median / High Price $236.03 / $280.99 / $505.80	Professional		$236.03	$280.99	$505.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $312.82 / $312.82 / $437.95	Professional		$312.82	$312.82	$437.95