Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.16 / $142.36 / $292.38	Facility		$73.16	$142.36	$292.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.83 / $77.20 / $86.68	Professional		$59.83	$77.20	$86.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $66.95 / $66.95	Professional		$66.95	$66.95	$66.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.79 / $88.90 / $209.62	Facility		$46.79	$88.90	$209.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.79 / $46.79 / $46.79	Professional		$46.79	$46.79	$46.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.29 / $80.29 / $80.29	Facility		$80.29	$80.29	$80.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.29 / $80.29 / $80.29	Professional		$80.29	$80.29	$80.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $187.64 / $535.71 / $535.71	Facility		$187.64	$535.71	$535.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $633.60 / $633.60 / $825.98	Professional		$633.60	$633.60	$825.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.76 / $121.85 / $184.74	Facility		$77.76	$121.85	$184.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.26 / $89.26 / $89.26	Professional		$89.26	$89.26	$89.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $111.73 / $167.03 / $175.38	Professional		$111.73	$167.03	$175.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.29 / $108.69 / $169.81	Facility		$80.29	$108.69	$169.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.29 / $80.29 / $80.29	Professional		$80.29	$80.29	$80.29
United Facility/Professional Professional Modifier Low / Median / High Price $24.54 / $57.74 / $113.12	Professional		$24.54	$57.74	$113.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.79 / $63.17 / $93.36	Professional		$46.79	$63.17	$93.36