Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.62 / $487.37 / $967.20	Facility		$129.62	$487.37	$967.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.62 / $132.86 / $143.49	Professional		$129.62	$132.86	$143.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.90 / $299.23 / $597.25	Facility		$114.90	$299.23	$597.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.72 / $137.72 / $137.72	Facility		$137.72	$137.72	$137.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $137.72 / $137.72	Professional		$137.72	$137.72	$137.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $137.72 / $137.72 / $137.72	Facility		$137.72	$137.72	$137.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $324.04 / $324.04 / $324.04	Professional		$324.04	$324.04	$324.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.11 / $162.02 / $220.11	Facility		$29.11	$162.02	$220.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.79 / $20.79 / $20.79	Professional		$20.79	$20.79	$20.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $93.86 / $140.30 / $147.31	Professional		$93.86	$140.30	$147.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.86 / $137.72 / $189.99	Facility		$29.86	$137.72	$189.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $137.72 / $137.72	Professional		$137.72	$137.72	$137.72
United Facility/Professional Professional Modifier Low / Median / High Price $153.91 / $153.91 / $153.91	Professional		$153.91	$153.91	$153.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.42 / $91.02 / $105.28	Professional		$67.42	$91.02	$105.28