Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.35 / $103.17 / $117.88	Facility		$31.35	$103.17	$117.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.35 / $32.14 / $33.31	Professional		$31.35	$32.14	$33.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.06 / $345.80 / $755.96	Facility		$58.06	$345.80	$755.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.92 / $32.92 / $32.92	Professional		$32.92	$32.92	$32.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.31 / $33.31 / $33.31	Facility		$33.31	$33.31	$33.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.31 / $33.31 / $33.31	Professional		$33.31	$33.31	$33.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $170.02 / $216.18 / $216.18	Facility		$170.02	$216.18	$216.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $354.51 / $354.51 / $354.51	Professional		$354.51	$354.51	$354.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.53 / $39.19 / $88.98	Facility		$32.53	$39.19	$88.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.71 / $43.71 / $77.23	Professional		$43.71	$43.71	$77.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $90.68 / $135.57 / $142.35	Professional		$90.68	$135.57	$142.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.31 / $39.19 / $78.93	Facility		$33.31	$39.19	$78.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.31 / $33.31 / $33.31	Professional		$33.31	$33.31	$33.31
United Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $32.65 / $33.08	Professional		$32.65	$32.65	$33.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $34.20 / $46.17	Professional		$32.65	$34.20	$46.17