Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.78 / $244.42 / $1,168.88	Facility		$233.78	$244.42	$1,168.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $244.42 / $257.16	Professional		$238.46	$244.42	$257.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $211.65 / $541.82 / $1,077.30	Facility		$211.65	$541.82	$1,077.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.46 / $245.46 / $245.46	Professional		$245.46	$245.46	$245.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.36 / $253.36 / $253.36	Facility		$253.36	$253.36	$253.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.36 / $253.36 / $253.36	Professional		$253.36	$253.36	$253.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $277.61 / $1,201.00 / $1,265.90	Facility		$277.61	$1,201.00	$1,265.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,037.82 / $1,110.44 / $1,284.26	Professional		$1,037.82	$1,110.44	$1,284.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $243.23 / $292.22 / $518.16	Facility		$243.23	$292.22	$518.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $253.18 / $405.09 / $417.75	Professional		$253.18	$405.09	$417.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $335.65 / $335.65 / $335.65	Professional		$335.65	$335.65	$335.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $243.23 / $298.07 / $518.16	Facility		$243.23	$298.07	$518.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $253.36 / $253.36 / $253.36	Professional		$253.36	$253.36	$253.36
United Facility/Professional Professional Modifier Low / Median / High Price $248.39 / $248.39 / $248.39	Professional		$248.39	$248.39	$248.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $237.83 / $277.61 / $374.77	Professional		$237.83	$277.61	$374.77