Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $63.09 / $173.93	Facility		$16.60	$63.09	$173.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.37 / $16.60 / $18.70	Professional		$12.37	$16.60	$18.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.23 / $81.23 / $81.23	Professional		$81.23	$81.23	$81.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $17.32 / $17.32	Facility		$17.32	$17.32	$17.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $17.32 / $17.32	Professional		$17.32	$17.32	$17.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $115.57 / $115.57	Facility		$80.00	$115.57	$115.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $136.72 / $136.72 / $178.20	Professional		$136.72	$136.72	$178.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.78 / $24.00 / $39.86	Facility		$16.78	$24.00	$39.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.26 / $19.26 / $19.26	Professional		$19.26	$19.26	$19.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.53 / $136.83 / $143.66	Professional		$91.53	$136.83	$143.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.12 / $17.32 / $36.63	Facility		$17.12	$17.32	$36.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $17.32 / $17.32	Professional		$17.32	$17.32	$17.32
United Facility/Professional Facility Modifier Low / Median / High Price $33.63 / $33.63 / $33.63	Facility		$33.63	$33.63	$33.63
United Facility/Professional Professional Modifier Low / Median / High Price $20.38 / $20.38 / $20.38	Professional		$20.38	$20.38	$20.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $23.02 / $31.08	Professional		$18.84	$23.02	$31.08