Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $512.86 / $56,234.13	Facility		$295.12	$512.86	$56,234.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $302.00 / $363.08	Professional		$295.12	$302.00	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $602.56 / $1,122.02	Facility		$245.47	$602.56	$1,122.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $363.08 / $616.60	Facility		$295.12	$363.08	$616.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $302.00 / $501.19	Professional		$295.12	$302.00	$501.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $257.04 / $269.15	Professional		$30.20	$257.04	$269.15
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 $295.12 / $363.08 / $831.76	Facility		$295.12	$363.08	$831.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $323.59 / $323.59	Facility		$316.23	$323.59	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $398.11	Professional		$338.84	$338.84	$398.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19