Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $398.11 / $407.38	Facility		$389.05	$398.11	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $389.05 / $436.52	Professional		$239.88	$389.05	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $467.74 / $467.74	Professional		$323.59	$467.74	$467.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $398.11 / $562.34	Facility		$123.03	$398.11	$562.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $398.11 / $436.52	Professional		$245.47	$398.11	$436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $363.08 / $363.08	Professional		$81.28	$363.08	$363.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $389.05 / $575.44	Facility		$123.03	$389.05	$575.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $208.93 / $234.42	Professional		$186.21	$208.93	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $354.81 / $478.63	Professional		$275.42	$354.81	$478.63