Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $288.40 / $295.12	Facility		$281.84	$288.40	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $281.84 / $316.23	Professional		$169.82	$281.84	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $234.42	Professional		$199.53	$199.53	$234.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $288.40 / $407.38	Facility		$112.20	$288.40	$407.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $288.40 / $316.23	Professional		$173.78	$288.40	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $257.04 / $257.04	Professional		$81.28	$257.04	$257.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $275.42 / $416.87	Facility		$112.20	$275.42	$416.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $151.36 / $165.96	Professional		$131.83	$151.36	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $346.74	Professional		$199.53	$257.04	$346.74