Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $18,620.87	Facility		$14.13	$14.13	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $138.04	Professional		$14.13	$14.13	$138.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $257.04 / $407.38	Facility		$91.20	$257.04	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $19.05 / $144.54	Facility		$14.79	$19.05	$144.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $72.44	Professional		$14.13	$14.13	$72.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $63.10	Facility		$14.79	$14.79	$63.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $134.90 / $177.83	Facility		$56.23	$134.90	$177.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49